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THE HEART CLINIC LLC NPI 1952610826


NPI Information

NPI: 1952610826
Provider Name: THE HEART CLINIC, LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1040 RIVER OAKS DR
SUITE 100 PROFESSIONAL CENTER
FLOWOOD, MS
ZIP 39232
Phone: (601) 936-5311
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THE HEART CLINIC, LLC is a specialist in Flowood, MS. 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. THE HEART CLINIC, LLC NPI is 1952610826. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1040 RIVER OAKS DR
SUITE 100 PROFESSIONAL CENTER
FLOWOOD, MS
ZIP 39232-530
Phone: (601) 936-5311

The provider's authorized official is James M Fuller .
The authorized official title is Owner/physician and has the following contact phone number (601) 936-5311.

The enumeration date for this NPI number is 9/27/2010 and was last updated on 9/27/2010.


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
1174400000XSpecialist14934MISSISSIPPIYes

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: 11/14/2023

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