# CUMBERLAND FAMILY CARE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225003809
- **Authorized official:** MISCHELLE LYNN FERRELL MHA (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (931) 738-3383

## Contact information

- **Practice address:** 457 VISTA DR, SPARTA, TN 38583-1360
- **Practice address phone:** (931) 738-3383
- **Practice address fax:** (931) 738-8911
- **Mailing address:** 457 VISTA DR, SPARTA, TN 38583-1360
- **Mailing address phone:** (931) 738-3383
- **Mailing address fax:** (931) 738-8911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/17/2006
- **Last updated:** 07/01/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3713471 | — | TN |
| 01 | — | CI1932 | RAILROAD MEDICARE PIN | TN |