Whalio Doctors

NPI 1386933166

Tennessee Pediatric & Adolescent Center

Organisation Legal Medicine Cookeville, TN

Practice location

Address
435 N Cedar Ave, Cookeville, TN 38501-5401
Phone
(931) 526-6100
Fax
(931) 526-6002

Authorised official

Name
Satya Narayan Chakrabarty
Title
Owner / Provider
Phone
(931) 526-6100

Registered specialties (4)

Legal Medicine Primary
Other Service Providers Taxonomy 173000000X Licence MD28171 (TN)
Legal Medicine
Other Service Providers Taxonomy 173000000X Licence MD44069 (TN)
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence RN0000148368 (TN)
Family Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence APN15014 (TN)

Registry record

NPI
1386933166
Entity type
Organization
NPI issued
1 Apr 2011
Record last updated
1 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.