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Crossville Medical Group Pa
Multi-Specialty Clinic/Center in Crossville, Tennessee
NPI 1053414698

Crossville Medical Group Pa is a Multi-Specialty Clinic/Center based in Crossville, TN and is specialized in Multi-Specialty. Crossville Medical Group Pa practices in Crossville, TN. The NPI Number for Crossville Medical Group Pa is 1053414698 and holds a License No. (Tennessee).

The current practice location address for Crossville Medical Group Pa is 100 Lantana Rd, Crossville, TN and can be reached out via phone at 931-484-5141 and via fax at 931-484-5620.

Location: 100 Lantana Rd, Crossville, TN, 38555-1903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053414698
Provider Name
Crossville Medical Group Pa
Credential
Provider Entity Type
Organization
Address
100 Lantana Rd, Crossville, TN, 38555-1903
Phone Number
931-484-5141
Fax Number
931-484-5620
Provider Enumeration Date
09/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3370906 05 TN
institution
Provider Business Practice Location Address Details
Address
100 Lantana Rd
City
Crossville
State
Tennessee
Zip
38555-1903
Phone Number
931-484-5141
Fax Number
931-484-5620
person
Provider Business Mailing Address Details
Address
100 Lantana Rd
City
Crossville
State
Tennessee
Zip
38555-1903
Phone Number
931-484-5141
Fax Number
931-484-5620
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
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Definition
Definition to come...
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