Organization
CAMPBELL STATION CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A. MALOOF III M.D. (DOCTOR/OWNER)
(615) 599-9908
Entity
Organization
Contact information
Practice address
4847 COLUMBIA PIKE, SPRING HILL, TN 37174-9241
(615) 599-9908
(615) 599-9913
Mailing address
4847 COLUMBIA PIKE, SPRING HILL, TN 37174-9241
(615) 599-9908
(615) 599-9913
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0000019617
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4050552
BLUE CROSS BLUE SHIELD
TN
Enumeration date
07/18/2007
Last updated
07/18/2007
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