Organization
LIFE CARE PHYSICIAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S CROSS (ASST. SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
3570 KEITH ST NW, CLEVELAND, TN 37312-4309
(423) 473-5026
(423) 339-8323
Mailing address
3570 KEITH ST NW, CLEVELAND, TN 37312-4309
(423) 473-5026
(423) 339-8323
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
03/17/2010
Last updated
10/20/2021
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