Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cedar Ridge Critical Care Medical Group PC

Organization Critical Care Medicine (Internal Medicine) Physician · NPI 1790274850

Cedar Ridge Critical Care Medical Group PC is a Critical Care Medicine (Internal Medicine) Physician in Clarksville, Tennessee. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

651 Dunlop Ln
Clarksville, TN 37040-5015
Phone: (931) 502-1000
Fax: (386) 274-7801
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1790274850
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Maron — President · (925) 482-8233
NPI enumeratedMay 4, 2018
Last updated in NPPESDecember 12, 2018
Mailing addressPo Box 11531, Daytona Beach, FL 32120-1531

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