NPI | 1649842790 |
---|---|
Doing Business As | REGIONAL CARDIAC AND VASCULAR ASSOCIATES |
Doing Business As | GULF COAST HMA PHYSICIAN MANAGEMENT LLC |
Entity Type | Organization |
Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LA2200X Nurse Practitioner, Adult Health | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2021-07-16 |
Last Update Date | 2022-03-15 |