Provider Demographics
NPI:1538279047
Name:CLINE, ERIN E (MD)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:E
Last Name:CLINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3799
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-3799
Mailing Address - Country:US
Mailing Address - Phone:931-245-7000
Mailing Address - Fax:931-245-7069
Practice Address - Street 1:5917 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ERIN
Practice Address - State:TN
Practice Address - Zip Code:37061-4122
Practice Address - Country:US
Practice Address - Phone:931-289-4325
Practice Address - Fax:931-245-8360
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39171207Q00000X
TNMD39171207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3325484Medicaid
TN3325484Medicaid
TN3325484Medicare PIN