Organization
TCHEFUNCTE CARDIOLOGY ASSOCIATES - LAKEVIEW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN REBOK (GROUP VICE PRESIDENT/AO)
(615) 372-5004
Entity
Organization
Contact information
Practice address
101 JUDGE TANNER BLVD STE 300, COVINGTON, LA 70433-7506
(985) 867-2100
(985) 871-1548
Mailing address
PO BOX 742653, ATLANTA, GA 30374-2653
(615) 373-7600
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
08/13/2013
Last updated
06/09/2022
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