Organization
CARDIAC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE SMITH (FRONT OFFICE MANAGER)
(615) 895-1301
Entity
Organization
Contact information
Practice address
507 N UNIVERSITY ST, MURFREESBORO, TN 37130-3011
(615) 895-1301
(615) 849-1543
Mailing address
507 N UNIVERSITY ST, MURFREESBORO, TN 37130-3011
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3091515
—
TN
05
—
3889655
—
TN
Enumeration date
02/22/2007
Last updated
06/04/2008
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