Organization
CENTENNIAL HEART, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS JOSEPH (VICE PRESIDENT)
(615) 373-7630
Entity
Organization
Contact information
Practice address
2400 PATTERSON STREET, SUITE 502, NASHVILLE, TN 37203
(615) 515-1900
Mailing address
2400 PATTERSON STREET, SUITE 502, NASHVILLE, TN 37203
(615) 515-1900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/08/2016
Last updated
02/07/2020
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