Organization
MID - SOUTH HEART CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLOTTE BEARD (OFFICE ADMINISTRATOR)
(721) 423-8383
Entity
Organization
Contact information
Practice address
48 MEDICAL CENTER DR, JACKSON, TN 38301-3947
(731) 423-8383
(731) 424-6309
Mailing address
48 MEDICAL CENTER DR, JACKSON, TN 38301-3947
(731) 423-8383
(731) 424-6309
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33426
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3712931
—
TN
Enumeration date
05/24/2006
Last updated
11/04/2021
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