Organization
DIAGNOSTIC CARDIOLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE RICHARDS MD (CEO)
(423) 629-4106
Entity
Organization
Contact information
Practice address
2341 MCCALLIE AVE, PLAZA 3, STE. 200, CHATTANOOGA, TN 37404-3239
(423) 629-4106
(423) 629-4116
Mailing address
2341 MCCALLIE AVE, PLAZA 3, STE. 200, CHATTANOOGA, TN 37404-3239
(423) 629-4106
(423) 629-4116
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC3036
RR
TN
Enumeration date
10/14/2005
Last updated
10/31/2011
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