# CUMBERLAND HEALTHCARE GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sewanee Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316152994
- **Authorized official:** MARY JANE TATE (ADMINSTRATOR)
- **Authorized official phone:** (931) 598-5648

## Contact information

- **Practice address:** 1314 UNIVERSITY AVE., SEWANEE, TN 37375
- **Practice address phone:** (931) 598-5648
- **Practice address fax:** (931) 598-0778
- **Mailing address:** 515 CUMBERLAND ST W, COWAN, TN 37318-3107
- **Mailing address phone:** (931) 598-5648
- **Mailing address fax:** (931) 598-0778

## Taxonomy

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

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 08/08/2014