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GRANDVIEW PHYSICIAN GROUP LLC NPI 1285769463


NPI Information

NPI: 1285769463
Provider Name: GRANDVIEW PHYSICIAN GROUP LLC

Former Legal Business Name: GRANDVIEW CARDIOLOGY LLC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
980 HIGHWAY 28
SUITE 102
JASPER, TN
ZIP 37347
Phone: (423) 837-9500
Get Directions

GRANDVIEW PHYSICIAN GROUP LLC is a general practice in Jasper, TN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GRANDVIEW PHYSICIAN GROUP LLC NPI is 1285769463. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Grandview Cardiology Llc.

The provider's business location address is:

980 HIGHWAY 28
SUITE 102
JASPER, TN
ZIP 37347-695
Phone: (423) 837-9500
Fax: (423) 837-3333

The provider's authorized official is Eugene Anthony Fay .
The authorized official title is Vice President and has the following contact phone number (615) 764-3007.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 10/22/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

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: 5/5/2024

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