Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Plastic Surgery Within the Head and Neck |
2082S0099X | 02 | Physician/General Surgery |
| NPI Number | 1497263941 |
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| LBN Legal business name | CUMBERLAND SURGICAL ARTS AND ASSOCIATES, PLLC | ||||||||||||||||||||||||||||||||
| Authorized official | GEORGE LEE - (DOCTOR) | ||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||||||||||||||||||
| Enumeration date | 01/18/2018 | ||||||||||||||||||||||||||||||||
| Last updated | 11/07/2023 - About 3 years ago | ||||||||||||||||||||||||||||||||
| Identifiers |
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