Individual
REBEKAH SPROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER BLVD, SUITE 103, COOKEVILLE, TN 38501-4294
(931) 783-2770
(931) 525-1176
Mailing address
127 N OAK AVE, SUITE D, COOKEVILLE, TN 38501-2435
(931) 783-5582
(931) 526-6760
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD49739
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4352422
BCBS
TN
05
—
7100410150
—
KY
05
—
Q002274
—
TN
Enumeration date
06/28/2010
Last updated
05/15/2017
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