Organization
THORACIC AND CARDIOVASCULAR ASSOCIATES OF TENNESSEE INC
Active
Other names
Maury Regional Hospital Cardiovascular & Thoracic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD E PRESTON (EXECUTIVE DIRECTOR)
(931) 540-4255
Entity
Organization
Contact information
Practice address
1220 TROTWOOD AVE, SUITE 401, COLUMBIA, TN 38401-6433
(931) 388-6550
(931) 388-6549
Mailing address
854 W JAMES CAMPBELL BLVD, SUITE 303A, COLUMBIA, TN 38401-4659
(931) 540-4255
(931) 490-4654
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3723206
—
TN
Enumeration date
05/12/2006
Last updated
06/10/2009
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