Organization
COOKEVILLE CARDIAC ANESTHESIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN L CLEMONS M.D. (PRESIDENT)
(931) 526-8513
Entity
Organization
Contact information
Practice address
682 CANTER LN, COOKEVILLE, TN 38501-4523
(931) 526-8513
(931) 526-5422
Mailing address
DEPT 888152, KNOXVILLE, TN 37995-8152
(931) 526-8513
(931) 526-5422
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3732052
—
TN
Enumeration date
07/24/2006
Last updated
08/24/2015
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