CEDAR RIDGE CRITICAL CARE MEDICAL GROUP PC

CLARKSVILLE, TN
NPI1790274850
Entity TypeOrganization
Authorized ContactSTEVEN P MARON
President
925-482-8233
Organization Subpart ?No
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
Additional Taxonomies363A00000X Physician Assistant
363L00000X Nurse Practitioner
Enumeration Date2018-05-04
Last Update Date2018-12-12
Business Address
CEDAR RIDGE CRITICAL CARE MEDICAL GROUP PC
651 DUNLOP LN
CLARKSVILLE, TN 37040-5015
Phone number: 931-502-1000
Mailing Address
CEDAR RIDGE CRITICAL CARE MEDICAL GROUP PC
PO BOX 11531
DAYTONA BEACH, FL 32120-1531
Phone number: 386-274-7800