Organization
CUMBERLAND SURGICAL ARTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE S LEE MD, DDS (CEO)
(615) 293-8651
Entity
Organization
Contact information
Practice address
2285 RUDOLPHTOWN RD, SUITE 200, CLARKSVILLE, TN 37043
(931) 552-3292
Mailing address
PO BOX 3097, CLARKSVILLE, TN 37043-3097
(931) 552-3292
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3733886
—
TN
Enumeration date
05/22/2006
Last updated
02/25/2008
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