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Organization

CUMBERLAND PATHOLOGY ASSOCIATES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDALL ROBERT HAASE D.O. (PRESIDENT)
(931) 551-1939
Entity
Organization

Contact information

Practice address
1771 MADISON ST, CLARKSVILLE, TN 37043-4990
(931) 551-1939
(931) 221-2236
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 554-9300
(843) 566-8780

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
970
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3708071
TN
Enumeration date
02/06/2006
Last updated
02/29/2008
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