Organization
CLEVELAND PSYCHIATRIC CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY GLYNN NEWMAN JR. M.D. (PSYCHIATRIST/OWNER)
(423) 473-2633
Entity
Organization
Contact information
Practice address
1723 MOUNT VERNON DR NW, CLEVELAND, TN 37311-3539
(423) 473-2633
(423) 473-2643
Mailing address
1723 MOUNT VERNON DR NW, CLEVELAND, TN 37311-3539
(423) 473-2633
(423) 473-2643
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
40005
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3332735
—
TN
Enumeration date
09/20/2007
Last updated
03/17/2023
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