Gethsemane Cardiovascular Clinic in Murfreesboro - Cardiovascular Disease

Gethsemane Cardiovascular Clinic - NPI 1407865785

Gethsemane Cardiovascular Clinic is a Cardiovascular Disease in Murfreesboro, Tennessee. Gethsemane Cardiovascular Clinic practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Gethsemane Cardiovascular Clinic is 1407865785. The last update date is 2010-06-11.

Gethsemane Cardiovascular Clinic's current location address is 1602 West Northfield Boulevard, Murfreesboro, Tennessee. You can contact this provider via phone number 6154941255 and fax number 6154941274. The mailing address for Gethsemane Cardiovascular Clinic is 1602 West Northfield Boulevard, Murfreesboro, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gethsemane Cardiovascular Clinic
Address 1602 West Northfield Boulevard, Murfreesboro, Tennessee
Phone Number 6154941255
Fax Number 6154941274
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Jackson A Paul
Credentials MD
Telephone Number 6154941255

NPI Number Detail

NPI Number 1407865785
Provider Enumeration Date 2006-08-05
Last Updated Date 2010-06-11

Provider Mailing Address Detail

Address 1602 West Northfield Boulevard
City Murfreesboro
State Tennessee (TN)
Post Code 371296057
Phone Number 6154941255
Fax Number 6154941274

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No MD38872
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MD38872 TN MD LICENSE

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FAQs about Gethsemane Cardiovascular Clinic

What is the unique 10-digit identifier code assigned to Gethsemane Cardiovascular Clinic by the Centers for Medicare & Medicaid Services?

The Gethsemane Cardiovascular Clinic has been issued the NPI (National Provider Identifier) 1407865785 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Gethsemane Cardiovascular Clinic's facilities are geographically located?

The facilities of Gethsemane Cardiovascular Clinic are physically situated at the following location: 1602 West Northfield Boulevard, Murfreesboro, TN, 371296057.

What is Gethsemane Cardiovascular Clinic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Gethsemane Cardiovascular Clinic is Cardiovascular Disease, and the taxonomy classification code that categorizes this area of expertise is 207Rc0000X.

On what date did Gethsemane Cardiovascular Clinic receive its 1407865785 assignment from the Centers for Medicare & Medicaid Services?

The Gethsemane Cardiovascular Clinic was assigned its 1407865785 on 2006-08-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Gethsemane Cardiovascular Clinic's details last updated?

The information pertaining to the Gethsemane Cardiovascular Clinic, including its address, specialty, and other details, was most recently updated on 2010-06-11.

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