Organization
PLATEAU MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN KASAL MD (PRESIDENT)
(931) 248-5646
Entity
Organization
Contact information
Practice address
421 S MAIN ST, CUMBERLAND MEDICAL CENTER, CROSSVILLE, TN 38555-5048
(931) 484-9511
Mailing address
PO BOX 1028, CROSSVILLE, TN 38557-1028
(931) 248-5646
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD0000035488
TN
Other
Enumeration date
06/05/2006
Last updated
08/22/2020
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