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Contact Information

CARDIOPULMONARY SURGICAL CONSULTANTS PC
310 N STATE OF FRANKLIN RD
STE 101
JOHNSON CITY, TN37604
 Phone: 423-929-7393
 Fax: 423-929-1427
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for CARDIOPULMONARY SURGICAL CONSULTANTS PC · (Female)

NPI Number 1154381713
Status Active
Credentials
Entity Individual
Enumeration date 03/27/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN Medicaid 3706826
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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