National Provider Identifier Database

CUMBERLAND PEDIATRIC ASSOCIATES PC
Primary Care


Contact Information

CUMBERLAND PEDIATRIC ASSOCIATES PC
1029 W MAIN ST
SUITE M
LEBANON, TN37087-3351
Phone: 615-453-1252
Fax: 615-453-1286
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X
Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for CUMBERLAND PEDIATRIC ASSOCIATES PC

NPI Number 1104964576
Legal business name
LBN
CUMBERLAND PEDIATRIC ASSOCIATES PC
Authorized official CHARLES JORDAN - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 02/01/2007
Last updated 03/16/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • TN Medicaid: 3713897

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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