| 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 |