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Contact Information

MARK R HECKLE, MD
57 GERMANTOWN CT STE 100
CORDOVA, TN38018-4274
 Phone: 901-435-8550
 Fax: 901-478-0781
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MARK R HECKLE · (Male)

NPI # 1497190862
Status Active
Credentials MD
Entity Individual
Enumeration date 04/30/2013
Last updated 05/17/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 54973
  • TN License # MD0000054973
Hospital affiliation(s)
  • METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL - (Acute Care)
    4250 BETHEL ROAD
    OLIVE BRANCH, MS 38654
  • METHODIST HEALTHCARE MEMPHIS HOSPITALS - (Acute Care)
    1265 UNION AVE SUITE 700
    MEMPHIS, TN 38104
  • ST FRANCIS HOSPITAL - (Acute Care)
    5959 PARK AVE
    MEMPHIS, TN 38119
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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