CROSSVILLE MEDICAL GROUP PA is a multi-specialty clinic center in Crossville, TN. CROSSVILLE MEDICAL GROUP PA NPI is 1053414698. The provider is registered as an organization entity type.
The provider's business location address is:
100 LANTANA RD
SUITE 202
CROSSVILLE, TN
ZIP 38555-903
Phone: (931) 484-5141
Fax: (931) 484-5620
The provider's authorized official is Gary Burton .
The authorized official title is Administrator and has the following contact phone number (931) 484-5141.
The CLIA number assigned to this NPI record is 44D0316201 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/7/2006 and was last updated on 11/19/2009.