OrganizationActive
1101 Primary Care, PLLC
NPI 1083074587 · Family Medicine Physician · Cookeville, TN
Provider details
- NPI number
- 1083074587
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Carolyn Shirley, Practice Manager
Mailing address
1101 Neal St
Cookeville, TN 38501-0901
Registry dates
- Enumerated
- 2016-02-26
- Last updated
- 2020-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.