Organization
STONES RIVER PSYCHIATRIC GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIPRA M PUTATUNDA MD (OWNER)
(615) 893-8755
Entity
Organization
Contact information
Practice address
1024 N HIGHLAND AVE, SUITE B, MURFREESBORO, TN 37130-2443
(615) 893-8755
(615) 893-8732
Mailing address
1024 N HIGHLAND AVE, SUITE B, MURFREESBORO, TN 37130-2443
(615) 893-8755
(615) 893-8732
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD0000025786
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3065691
BCBS
TN
05
—
3088135
—
TN
Enumeration date
06/23/2006
Last updated
09/01/2011
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