OrganizationActive
Cedar Ridge Critical Care Medical Group PC
NPI 1790274850 · Critical Care Medicine (Internal Medicine) Physician · Clarksville, TN
Provider details
- NPI number
- 1790274850
- Entity type
- Organization
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Steven Maron, President(925) 482-8233
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
651 Dunlop Ln
Clarksville, TN 37040-5015
Phone: (931) 502-1000
Fax: (386) 274-7801
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 11531
Daytona Beach, FL 32120-1531
Registry dates
- Enumerated
- 2018-05-04
- Last updated
- 2018-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.