Crossville Orthopaedics & Sports Medicine Pllc
LBN: Crossville Orthopaedics & Sports Medicine Pllc
Crossville Orthopaedics & Sports Medicine Pllc is an health care organization with primary practice located at 35 Taylor Ave Suite 103, Crossville TN 38555-4526. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Crossville Orthopaedics & Sports Medicine Pllc can be contacted via phone (931) 484-3401, or through Garland, Russell Tyson via phone (931) 484-3401.
Contact Information
Primary practice address
35 Taylor Ave Suite 103
Crossville TN 38555-4526
Phone: (931) 484-3401
Fax: (931) 484-3405
Website:
Authorized official contact:
Name: Garland, Russell Tyson Doctor of Medicine (MD)
Phone: (931) 484-3401
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD37289 | Tennessee |
Profile Details
| NPI number | 1700097417 |
|---|---|
| LBN Legal business name | Crossville Orthopaedics & Sports Medicine Pllc |
| DBA Doing business as | |
| Authorized official | Garland, Russell Tyson Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 24th, 2007 |
| Last updated | Nov 23rd, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700097417 | NPPES |
| Tennessee | MEDICAID | 3717972 | |
| Tennessee | Other | 4062795 | |
| Tennessee | Other | P00047359 |
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