Organization
COOKVILLE PAIN CONSULTANTS OF PUTNAM COUNTY
Active
Other names
PAIN CONSULTANTS OF PUTNAM COUNTY
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE D MARKS (BILLING MANAGER)
(931) 952-4910
Entity
Organization
Contact information
Practice address
580 S JEFFERSON AVE, COOKEVILLE, TN 38501-4010
(931) 526-7104
(931) 526-7105
Mailing address
P O BOX 4129, COOKEVILLE, TN 38502
(931) 526-7104
(931) 526-7105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TN
208VP0000X
Pain Medicine Physician
—
TN
Other
Enumeration date
05/01/2012
Last updated
05/22/2012
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