Healthcare Provider Details

I. General information

NPI: 1609965771
Provider Name (Legal Business Name): WOMENS HEALTH SERVICES OF THE CUMBERLANDS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 12/11/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1080 NEAL ST. SUITE 200
COOKEVILLE TN
38501
US

IV. Provider business mailing address

1080 NEAL ST. SUITE 200
COOKEVILLE TN
38501
US

V. Phone/Fax

Practice location:
  • Phone: 931-520-1529
  • Fax: 931-372-2751
Mailing address:
  • Phone: 931-520-1529
  • Fax: 931-372-2751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL CASAL
Title or Position: CO-OWNER
Credential: M.D.
Phone: 931-520-1529