Organization
CARDIAC SURGERY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY BURTON GOOCH MD (PRESIDENT)
(901) 747-0017
Entity
Organization
Contact information
Practice address
6029 WALNUT GROVE RD, SUITE 109, MEMPHIS, TN 38120-2112
(901) 747-0017
(901) 747-0016
Mailing address
6029 WALNUT GROVE RD, SUITE 109, MEMPHIS, TN 38120-2112
(901) 747-0017
(901) 747-0016
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
06/20/2008
Last updated
10/13/2010
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