South Cumberland Family Care P.L.L.C.
Organization Active NPI Primary Care Clinic/Center · Monteagle, TN
NPI 1306110002 · NPPES record last updated Feb 1, 2013
Key facts
- NPI
- 1306110002
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- APN0000015897 (TN)
- Legal business name
- SOUTH CUMBERLAND FAMILY CARE P.L.L.C.
- Practice address
- 215 College St
Monteagle, TN 37356-7005 - Phone
- (931) 924-6222
- Fax
- (949) 862-4433
- NPI assigned
- Feb 28, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Clifford Louis Huffman Jr., MSN, FNP-BC
- Title
- Owner
- Phone
- (931) 924-6222
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | APN0000015897 | TN | Yes |
Addresses
Primary practice location
215 College St
Monteagle, TN 37356-7005
Mailing address
215 College St
Monteagle, TN 37356-7005
Phone (931) 924-6222
Other names
- South Cumberland Family Care
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All providers in Monteagle, TN · Primary Care Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.