Cumberland Plateau General Surgery, Pllc

NPI #1649591264 in Mcminnville, Tennessee

Provider Information

NPI Number: 1649591264
Entity Type: Organization
Organization Name: Cumberland Plateau General Surgery, Pllc
Primary Specialty: Surgery
Enumeration Date: Jun 17, 2010
Last Updated: Jun 17, 2010

Practice Location

Address: 1589 SPARTA ST
Address 2: STE 305
City: Mcminnville
State: Tennessee
ZIP Code: 37110-1390
Phone: (931) 507-5555

Authorized Official

Name: ANDREW DOUGLAS KASTELLO, M.D.
Title: CHIEF MANAGER
Phone: (248) 881-3683

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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