Organization
THE CARDIOVASCULAR CLINIC OF WEST TENNESSEE,P.C.
Active
Other names
WEST TENNESSEE CARDIOVASCULAR CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEYINKA ADEBAYO AGBETOYIN M.D. (PRESIDENT)
(731) 256-1819
Entity
Organization
Contact information
Practice address
162 MURRAY GUARD DR, SUITE A, JACKSON, TN 38305-3609
(731) 256-1819
(731) 664-4330
Mailing address
38 DOVECREST CV, JACKSON, TN 38305-6908
(731) 256-1819
(731) 664-4330
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
36918
TN
Other
Enumeration date
06/17/2007
Last updated
08/01/2007
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