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MEMPHIS CARDIOVASCULAR CENTER NPI 1063873909


NPI Information

NPI: 1063873909
Provider Name: MEMPHIS CARDIOVASCULAR CENTER
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 44D2283379

Address:
6799 GREAT OAKS RD
SUITE 100
MEMPHIS, TN
ZIP 38138
Phone: (901) 751-0405
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MEMPHIS CARDIOVASCULAR CENTER is a cardiovascular disease internal medicine in Memphis, 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. MEMPHIS CARDIOVASCULAR CENTER NPI is 1063873909. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6799 GREAT OAKS RD
SUITE 100
MEMPHIS, TN
ZIP 38138-588
Phone: (901) 751-0405
Fax: (901) 751-9694

The provider's authorized official is Sara Elizabeth Wiles .
The authorized official title is Nurse Practitioner and has the following contact phone number (901) 751-0405.

The CLIA number assigned to this NPI record is 44D2283379 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2016 and was last updated on 3/18/2016.


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 DiseaseYes

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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