Organization
CUMBERLAND PEDIATRIC ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ANDREW JORDAN MD (PHYSICIAN)
(615) 453-1252
Entity
Organization
Contact information
Practice address
1029 W MAIN ST, SUITE M, LEBANON, TN 37087-3351
(615) 453-1252
(615) 453-1286
Mailing address
1029 W MAIN ST, SUITE M, LEBANON, TN 37087-3351
(615) 453-1252
(615) 453-1286
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3713897
—
TN
Enumeration date
02/01/2007
Last updated
03/16/2025
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