Individual
MARK REID HECKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
57 GERMANTOWN CT STE 100, CORDOVA, TN 38018-4274
(901) 435-8550
(901) 478-0781
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD0000054973
TN
207RC0000X
Cardiovascular Disease Physician
54973
TN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
54973
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2013
Last updated
05/17/2024
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