Provider Demographics
NPI:1366174161
Name:CUMBERLAND PEDIATRIC ASSOCIATES PC
Entity type:Organization
Organization Name:CUMBERLAND PEDIATRIC ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-453-1252
Mailing Address - Street 1:333 MCMURRY BLVD E
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37074-1215
Mailing Address - Country:US
Mailing Address - Phone:615-549-7737
Mailing Address - Fax:615-549-7734
Practice Address - Street 1:333 MCMURRY BLVD E
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37074-1215
Practice Address - Country:US
Practice Address - Phone:615-549-7737
Practice Address - Fax:615-549-7734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty