| NPI | 1366895674 |
|---|---|
| Doing Business As | CARDIO-THORACIC SURGEONS |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 877-892-9815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2023-08-22 |