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Organization
CUMBERLAND FAMILY CARE PC
Active
Organization
CUMBERLAND FAMILY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISCHELLE LYNN FERRELL MHA (PRACTICE ADMINISTRATOR)
(931) 738-3383
Entity
Organization
Contact information
Practice address
457 VISTA DR, SPARTA, TN 38583-1360
(931) 738-3383
(931) 738-8911
Mailing address
457 VISTA DR, SPARTA, TN 38583-1360
(931) 738-3383
(931) 738-8911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3713471
—
TN
01
—
CI1932
RAILROAD MEDICARE PIN
TN
Enumeration date
02/17/2006
Last updated
07/01/2016
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