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THE CARDIOVASCULAR CLINIC OF WEST TENNESSEEP.C. NPI 1013112457


NPI Information

NPI: 1013112457
Provider Name: THE CARDIOVASCULAR CLINIC OF WEST TENNESSEE,P.C.

Doing Business As: WEST TENNESSEE CARDIOVASCULAR CLINIC

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
162 MURRAY GUARD DR
SUITE A
JACKSON, TN
ZIP 38305
Phone: (731) 256-1819
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THE CARDIOVASCULAR CLINIC OF WEST TENNESSEE,P.C. is a cardiovascular disease internal medicine in Jackson, TN. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. THE CARDIOVASCULAR CLINIC OF WEST TENNESSEE,P.C. NPI is 1013112457. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As West Tennessee Cardiovascular Clinic.

The provider's business location address is:

162 MURRAY GUARD DR
SUITE A
JACKSON, TN
ZIP 38305-609
Phone: (731) 256-1819
Fax: (731) 664-4330

The provider's authorized official is Adeyinka Adebayo Agbetoyin .
The authorized official title is President and has the following contact phone number (731) 256-1819.

The enumeration date for this NPI number is 6/17/2007 and was last updated on 8/1/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease36918TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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