Individual
DR. CARLOS ALBERTO PODESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
238 W 4TH ST STE 200, COOKEVILLE, TN 38501
(931) 783-5582
Mailing address
228 W 4TH ST STE 200, COOKEVILLE, TN 38501-2489
(931) 783-5582
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN17376
FL
207RC0000X
Cardiovascular Disease Physician
Primary
60531
TN
207RI0011X
Interventional Cardiology Physician
60531
TN
Other
Enumeration date
11/03/2014
Last updated
02/08/2024
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