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NPI Code Detail

MEDICARE: CUMBERLAND RADIATION ASSOCIATES LLC

MEDICARE: CUMBERLAND RADIATION ASSOCIATES LLC
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
12085R0001XRadiation Oncology PhysicianMD25802TN

General Provider Information

NPI Number : 1619039062
Entity Type Code : Organization
Provider Name (Legal Business Name) : CUMBERLAND RADIATION ASSOCIATES LLC
Provider Business Mailing Address
First Line : DEPT 0765
Second Line : PO BOX 11407
City : BIRMINGHAM
State : AL
Zip : 35246-0765
Country : US
Telephone Number : 256-383-3325
Fax Number : 256-383-5911
Provider Business Practice Location Address
First Line : 2114 N JACKSON ST
Second Line :
City : TULLAHOMA
State : TN
Zip : 37388-2208
Country : US
Telephone Number : 931-454-9002
Fax Number : 931-454-9690
Authorized Official
Title or Position : VICE PRESIDENT FINANCE
Name : MR. CRAIG M WEEKS
Credential :
Telephone Number : 256-383-3325
Provider Enumeration Date : 12/14/2006
Last Update Date : 01/13/2011

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1598781528 — JAMES RUSSELL THURMAN DDS
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1952442006 — MRS. SANDRA GAYLE CLEVENGER LMT
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Directions to “CUMBERLAND RADIATION ASSOCIATES LLC ” Practice Location

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