MEDICARE: CUMBERLAND HEALTHCARE GROUP PLLC

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	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1871708966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CUMBERLAND HEALTHCARE GROUP PLLC

Provider Business Mailing Address
First Line	:	66 SUNRISE PARK
Second Line	:
City	:	WINCHESTER
State	:	TN
Zip	:	37398-2345
Country	:	US
Telephone Number	:	931-962-3001
Fax Number	:

Provider Business Practice Location Address
First Line	:	183 HOSPITAL RD
Second Line	:	SUITE #B
City	:	WINCHESTER
State	:	TN
Zip	:	37398-2470
Country	:	US
Telephone Number	:	931-968-1232
Fax Number	:	931-968-9869

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	MR. STEVEN S. STEWART
Credential	:
Telephone Number	:	931-962-3001

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	09/27/2010

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