Organization
MID-SOUTH CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE DISMUKES (PRACTICE ADMIN)
(615) 444-2320
Entity
Organization
Contact information
Practice address
1423 W. BADDOUR PKWY, LEBANON, TN 37087
(615) 449-6868
(615) 449-3163
Mailing address
PO BOX 5000, LEBANON, TN 37088-5000
(615) 444-2320
(615) 449-3163
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
08/18/2006
Last updated
08/22/2020
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