Provider First Line Business Practice Location Address:
215 WEST 8TH STREET
Provider Second Line Business Practice Location Address:
COOKEVILLE REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
COOKEVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
931-783-2900
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/24/2006