Individual
VISWA B. DURVASULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 NORTH WILLOW AVENUE, SUITE NUMBER 1, COOKEVILLE, TN 38501-2335
(931) 372-8700
Mailing address
982 STONEBRIDGE CIR, COOKEVILLE, TN 38501-6027
(615) 902-7461
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD0000020037
TN
Other
Enumeration date
02/13/2007
Last updated
09/02/2016
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