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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

NPI Number 1154381713
LBN Legal business name CARDIOPULMONARY SURGICAL CONSULTANTS PC
Authorized official VICKIE CUNNINGHAM - (BILLING COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/27/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
TN Medicaid 3706826
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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