Organization
CUMBERLAND HEART CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL ONG M.D. (PRESIDENT)
(931) 484-8100
Entity
Organization
Contact information
Practice address
49 CLEVELAND ST., STE. 250, CROSSVILLE, TN 38555
(931) 484-8100
(931) 707-9135
Mailing address
49 CLEVELAND ST., STE. 250, CROSSVILLE, TN 38555
(931) 484-8100
(931) 707-9135
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00060241
RAILROAD MEDICARE
TN
Enumeration date
10/02/2006
Last updated
08/01/2011
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