EASTERN SHORE HEART CENTER NPI 1740394105

NPI Information

EASTERN SHORE HEART CENTER is a specialist in Fairhope, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EASTERN SHORE HEART CENTER NPI is 1740394105. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19725 SOUTH GREENO ROAD
FAIRHOPE, AL
ZIP 36532-843
Phone: (251) 990-1930
Fax: (251) 990-1931

The provider's authorized official is Craig R Peterson .
The authorized official title is Physician /president and has the following contact phone number (251) 990-1930.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 3/17/2008.

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:

Other Identifiers

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