Cmc Physician Group

NPI 1063553824 - Internal Medicine - 207R00000X

NPI Details
NPI 1063553824
Enumeration Date 02/12/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANGEL SUZANNE ANGEL
Position PHYSICIAN
Phone (931) 456-9434
Fax
Practice Location
133 HAYES ST
CROSSVILLE TN, 38555-8000, US
Phone (931) 456-9434
Fax
Business Location
47 CROSS CREEK PL APT ART.11
CROSSVILLE TN, 38555-5082, US
Phone (931) 707-8162
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Tennessee
License Number 35554
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According to our database, Cmc Physician Group NPI is 1063553824, taxonomy code is 207R00000X and license number is 35554, license state is located at Tennessee. Cmc Physician Group physically located at 133 Hayes St, Crossville TN, 38555-8000. NPI Number 1033115704 has the healthcare provider type.

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1063553824 NPI number is provided on an as is basis without warranty of any kind. 1063553824 is maintained by the National Plan & Provider Enumeration System. The contents of Cmc Physician Group are for informational purposes only.