Provider Demographics
NPI:1972701944
Name:CUMBERLAND CLINIC OF CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:CUMBERLAND CLINIC OF CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:TONEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:931-474-1474
Mailing Address - Street 1:800 SPARTA ST
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-2632
Mailing Address - Country:US
Mailing Address - Phone:931-474-1474
Mailing Address - Fax:931-474-1475
Practice Address - Street 1:800 SPARTA ST
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-2632
Practice Address - Country:US
Practice Address - Phone:931-474-1474
Practice Address - Fax:931-474-1475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2157111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty