Organization
UPPER CUMBERLAND RURAL HEALTH CLINIC PLLC
Active
Other names
TN PEDIATRIC & ADOLESCENT CENTER, TN PEDIATRIC AND ADOLESCENT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PUSHPENDRA K JAIN MD (OWNER)
(931) 528-8899
Entity
Organization
Contact information
Practice address
165 SHELTON ST, SPARTA, TN 38583-1595
(931) 739-8722
Mailing address
225 N WILLOW AVE STE 3, COOKEVILLE, TN 38501-2453
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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