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Organization

SUTHERLAND CARDIOLOGY CLINIC, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. J CHARLES LOCK MSA (EXECUTIVE DIRECTOR)
(901) 763-0200
Entity
Organization

Contact information

Practice address
5959 PARK AVE, MEMPHIS, TN 38119-5200
(901) 763-0200
(901) 276-4128
Mailing address
7460 WOLF RIVER BOULEVARD, GERMANTOWN, TN 38138
(901) 763-0200
(901) 276-4128

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
06/15/2007
Last updated
02/05/2008
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