Provider Demographics
NPI:1568636157
Name:CROSSVILLE WOMEN'S CENTER PLC
Entity Type:Organization
Organization Name:CROSSVILLE WOMEN'S CENTER PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:M
Authorized Official - Last Name:CLAYPOOL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-456-5814
Mailing Address - Street 1:49 CLEVELAND ST STE 240
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-2858
Mailing Address - Country:US
Mailing Address - Phone:931-456-5814
Mailing Address - Fax:
Practice Address - Street 1:49 CLEVELAND ST STE 240
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-2858
Practice Address - Country:US
Practice Address - Phone:931-456-5814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000023982207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty