Organization
GETHSEMANE CARDIOVASCULAR CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA JACKSON (ADMIN)
(615) 494-1255
Entity
Organization
Contact information
Practice address
1602 W NORTHFIELD BLVD, SUITE 511, MURFREESBORO, TN 37129-6057
(615) 494-1255
Mailing address
1602 W NORTHFIELD BLVD, SUITE 511, MURFREESBORO, TN 37129-6057
(615) 494-1255
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
38872
TN
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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