Cumberland Spine & Sport, LLC

NPI #1245514306 in Jamestown, Tennessee

Provider Information

NPI Number: 1245514306
Entity Type: Organization
Organization Name: Cumberland Spine & Sport, LLC
Primary Specialty: Pain Medicine - Pain Medicine
Enumeration Date: Oct 6, 2011
Last Updated: Oct 6, 2011

Practice Location

Address: 100 S DUNCAN ST
City: Jamestown
State: Tennessee
ZIP Code: 38556-3009
Phone: (931) 879-5864

Authorized Official

Name: RICHARD D. SMITH, M.D.
Title: OWNER
Phone: (931) 879-5864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary

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