Organization
CUMBERLAND VIEW CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA PHILLIPS FREEMAN APN (OWNER)
(931) 552-0752
Entity
Organization
Contact information
Practice address
1749 HIGHWAY 48, CLARKSVILLE, TN 37040-7427
(931) 552-0752
(931) 552-0753
Mailing address
1749 HIGHWAY 48, CLARKSVILLE, TN 37040-7427
(931) 552-0752
(931) 552-0753
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1503983
—
TN
Enumeration date
03/18/2008
Last updated
05/30/2008
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