Organization
MEDICAL SPECIALISTS OF COOKEVILLE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL M MYERS (PRACTICE MANAGER)
(931) 528-7662
Entity
Organization
Contact information
Practice address
128 N WHITNEY AVE, COOKEVILLE, TN 38501-2450
(931) 528-7662
(931) 528-1266
Mailing address
128 N WHITNEY AVE, COOKEVILLE, TN 38501-2450
(931) 528-7662
(931) 528-1266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
020230
TN
207R00000X
Internal Medicine Physician
33892
TN
207R00000X
Internal Medicine Physician
38941
TN
207RG0100X
Gastroenterology Physician
13543
TN
207RG0100X
Gastroenterology Physician
6496
TN
207RN0300X
Nephrology Physician
Primary
7522
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3723270
—
TN
Enumeration date
12/28/2005
Last updated
09/11/2025
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