Healthcare Provider Details

I. General information

NPI: 1437310174
Provider Name (Legal Business Name): INFINITY BIRTHING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2008
Last Update Date: 06/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1080 NEAL ST SUITE 301
COOKEVILLE TN
38501-0942
US

IV. Provider business mailing address

1080 NEAL ST SUITE 301
COOKEVILLE TN
38501-0942
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 Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL PALMA CASAL
Title or Position: PHYSICIAN OWNER/ADMINISTRATOR
Credential: M.D.
Phone: 931-520-1529