MEDICARE: CUMBERLAND SURGICAL ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician		TN

General Provider Information

NPI Number	:	1679515332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CUMBERLAND SURGICAL ASSOCIATES

Provider Business Mailing Address
First Line	:	2011 CHURCH ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2048
Country	:	US
Telephone Number	:	615-329-7933
Fax Number	:

Provider Business Practice Location Address
First Line	:	2011 CHURCH ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2000
Country	:	US
Telephone Number	:	615-329-7933
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RICHARD TERRY
Credential	:
Telephone Number	:	615-329-7933

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	08/22/2020

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