Provider Demographics
NPI:1386827574
Name:CUMBERLAND CARDIOLOGY, P.A.
Entity type:Organization
Organization Name:CUMBERLAND CARDIOLOGY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SYLVESTER
Authorized Official - Middle Name:UCHENNA
Authorized Official - Last Name:EJEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-323-0065
Mailing Address - Street 1:909 S MCPHERSON CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-5350
Mailing Address - Country:US
Mailing Address - Phone:910-323-0065
Mailing Address - Fax:910-323-0071
Practice Address - Street 1:909 S MCPHERSON CHURCH RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-5350
Practice Address - Country:US
Practice Address - Phone:910-323-0065
Practice Address - Fax:910-323-0071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-11
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2006-1668207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty