Organization
NORTHWEST TENNESSEE CARDIOLOGY CLINIC, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C HALL M.D. (CEO)
(731) 886-1212
Entity
Organization
Contact information
Practice address
1304 MEDICAL PARK CIR, UNION CITY, TN 38261-5876
(731) 886-1212
(731) 886-1220
Mailing address
1304 MEDICAL PARK CIR, UNION CITY, TN 38261-5876
(731) 886-1212
(731) 886-1220
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17501
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17501
STATE LICENSE
TN
05
—
3024503
—
TN
01
—
44D0941660
CLIA #
TN
Enumeration date
11/10/2005
Last updated
09/30/2020
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