Provider Demographics
NPI:1982791141
Name:CUMBERLAND HEALTHCARE GROUP,PLLC
Entity Type:Organization
Organization Name:CUMBERLAND HEALTHCARE GROUP,PLLC
Other - Org Name:CUMBERLAND HEALTHCARE GROUP,PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-962-3001
Mailing Address - Street 1:66 SUNRISE PARK
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37398-2345
Mailing Address - Country:US
Mailing Address - Phone:931-962-3001
Mailing Address - Fax:931-962-3004
Practice Address - Street 1:66 SUNRISE PARK
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37398-2345
Practice Address - Country:US
Practice Address - Phone:931-962-3001
Practice Address - Fax:931-962-3004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty