Individual
CEDRIC MORRIS PALMER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
128 N WHITNEY AVE, COOKEVILLE, TN 38501-2493
(931) 783-5848
(931) 528-1266
Mailing address
127 N OAK AVE, SUITE D, COOKEVILLE, TN 38501-2435
(931) 783-5857
(931) 526-6760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD42624
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000582
—
TN
01
—
4330909
BCBS
TN
05
—
7100423350
—
KY
Enumeration date
07/19/2007
Last updated
05/15/2017
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