Organization
CUMBERLAND MEDICAL CENTER, INC
Active
Other names
CMC PHYSICIAN GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGEL SUZANNE TURNER (DIRECTOR)
(931) 456-9434
Entity
Organization
Contact information
Practice address
133 HAYES STREET, CROSSVILLE, TN 38555
(931) 456-9434
(931) 456-5061
Mailing address
421 S MAIN ST, CROSSVILLE, TN 38555-5048
(931) 456-9434
(931) 456-5061
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
—
363LF0000X
Family Nurse Practitioner
APN8232
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3284115
—
TN
01
—
443432
MEDICAID RHC
TN
Enumeration date
04/21/2006
Last updated
07/06/2009
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