National Provider Identifier Database

CARDIOPULMONARY SURGICAL CONSULTANTS PC
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.


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
* Vascular Surgery 2086S0129X

* Indicates primary specialty

NPI Profile & details for CARDIOPULMONARY SURGICAL CONSULTANTS PC

NPI Number 1154381713
Legal business name
LBN
CARDIOPULMONARY SURGICAL CONSULTANTS PC
Authorized official VICKIE CUNNINGHAM - (BILLING COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 03/27/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • TN Medicaid: 3706826

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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