Organization · Type 2 NPI

CRMC Mso Sub 1, Incorporated

Specialist · Cookeville, TN

NPI number 1972648319 Active

Practice location

228 W. 4th Street, Suite 200
Cookeville, TN 38501

Call (931) 372-0405 Map

Fax (931) 372-0463

Mailing address

PO Box 305172, Department 92
Nashville, TN 37230-5172

Other practice locations

  • 310 Oak St, Livingston, TN 38570-1729 · (931) 403-0559
  • 106 Henry Ave, Crossville, TN 38555-4470 · (931) 783-4770

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed
Surgical Physician Assistant 363AS0400XNone listed
Nurse Practitioner 363L00000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4 other providers at this address

Other specialist providers in Cookeville

See all in Cookeville →

About NPI 1972648319

CRMC Mso Sub 1, Incorporated's National Provider Identifier is 1972648319, issued on Feb 21, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Cookeville, TN. The record was last updated on Jul 16, 2024.