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Contact Information

CARDIAC ANESTHESIA GROUP
810 W FOREST AVE
JACKSON, TN38301-3942
 Phone: 731-668-1853
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for CARDIAC ANESTHESIA GROUP · (Female)

NPI # 1043309271
Status Active
Credentials
Entity Individual
Enumeration date 10/12/2006
Last updated 10/11/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
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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