Provider Demographics
NPI:1548475130
Name:CUMBERLAND HEALTHCARE GROUP PLLC
Entity type:Organization
Organization Name:CUMBERLAND HEALTHCARE GROUP PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:S
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:
Practice Address - Street 1:1310 UNIVERSITY AVE.
Practice Address - Street 2:SUITE #A
Practice Address - City:SEWANEE
Practice Address - State:TN
Practice Address - Zip Code:37375
Practice Address - Country:US
Practice Address - Phone:931-598-9761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty