Organization
CARDIOVASCULAR SPECIALIST , P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK MARTIN MD (OWNER)
(901) 722-0340
Entity
Organization
Contact information
Practice address
1211 UNION AVE, MEMPHIS, TN 38104-6643
(901) 722-0340
Mailing address
MSC 410702, P O BOX 415000, NASHVILLE, TN 37241-0001
(901) 722-0340
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
D32091
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3849165
—
TN
Enumeration date
04/10/2006
Last updated
08/22/2020
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