Organization
CROSSVILLE ORTHOPAEDICS & SPORTS MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL TYSON GARLAND MD (OWNER)
(931) 484-3401
Entity
Organization
Contact information
Practice address
35 TAYLOR AVE, SUITE 103, CROSSVILLE, TN 38555-4526
(931) 484-3401
(931) 484-3405
Mailing address
35 TAYLOR AVE, SUITE 103, CROSSVILLE, TN 38555-4526
(931) 484-3401
(931) 484-3405
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD37289
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3717972
—
TN
01
—
4062795
BLUE CROSS
TN
01
—
P00047359
MEDICARE RAILROAD
TN
Enumeration date
05/24/2007
Last updated
11/23/2008
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