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Yn Pakkala M.d, P.c
General Practice Physician in Bolivar, Tennessee
NPI 1841555141

Yn Pakkala M.d, P.c is a General Practice Physician based in Bolivar, TN. Yn Pakkala M.d, P.c practices in Bolivar, TN. The NPI Number for Yn Pakkala M.d, P.c is 1841555141 and holds a License No. MD9916 (Tennessee).

The current practice location address for Yn Pakkala M.d, P.c is 630 Nuckolls Rd, Bolivar, TN and can be reached out via phone at 731-658-6011 and via fax at 731-658-9884.

Location: 630 Nuckolls Rd, Bolivar, TN, 38008-1532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841555141
Provider Name
Yn Pakkala M.d, P.c
Credential
Provider Entity Type
Organization
Address
630 Nuckolls Rd, Bolivar, TN, 38008-1532
Phone Number
731-658-6011
Fax Number
731-658-9884
Provider Enumeration Date
07/12/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
630 Nuckolls Rd
City
Bolivar
State
Tennessee
Zip
38008-1532
Phone Number
731-658-6011
Fax Number
731-658-9884
person
Provider Business Mailing Address Details
Address
630 Nuckolls Rd
City
Bolivar
State
Tennessee
Zip
38008-1532
Phone Number
731-658-6011
Fax Number
731-658-9884
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
MD9916 (Tennessee)
Definition
Definition to come...
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