| Stones River Psychiatric Group Pc | |
|
1024 N Highland Ave Suite B Murfreesboro TN 37130-2443 | |
| (615) 893-8755 | |
| (615) 893-8732 |
| Full Name | Stones River Psychiatric Group Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1024 N Highland Ave, Murfreesboro, Tennessee |
| Authorized Official Name and Position | Shipra M Putatunda (OWNER) |
| Authorized Official Contact | 6158938755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stones River Psychiatric Group Pc 1024 N Highland Ave Suite B Murfreesboro TN 37130-2443 Ph: (615) 893-8755 | Stones River Psychiatric Group Pc 1024 N Highland Ave Suite B Murfreesboro TN 37130-2443 Ph: (615) 893-8755 |
| NPI Number | 1619903895 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 09/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619903895 | NPI | - | NPPES |
| 3065691 | Other | TN | BCBS |
| 3088135 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD0000025786 (Tennessee) | Primary |
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