Organization
CUMBERLAND PLATEAU GENERAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW DOUGLAS KASTELLO M.D. (CHIEF MANAGER)
(248) 881-3683
Entity
Organization
Contact information
Practice address
1589 SPARTA ST, STE 305, MCMINNVILLE, TN 37110-1390
(931) 507-5555
(931) 507-5575
Mailing address
1589 SPARTA ST, STE 305, MCMINNVILLE, TN 37110-1390
(931) 507-5555
(931) 507-5575
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
46154
TN
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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