CARDIOVASCULAR CLINIC OF WEST TN PC NPI 1740480961

NPI Information

CARDIOVASCULAR CLINIC OF WEST TN PC 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. CARDIOVASCULAR CLINIC OF WEST TN PC NPI is 1740480961. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cardiovascular Clinic Of West Tennessee P.c..

The provider's business location address is:

2968 NORTH HIGHLAND AVENUE
JACKSON, TN
ZIP 38305-609
Phone: (731) 256-1819
Fax: (731) 664-4330

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

The CLIA number assigned to this NPI record is 44D1071164 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/25/2007 and was last updated on 12/10/2010.

Taxonomy Codes

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Other Identifiers

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