National Provider Identifier Database

TENNESSEE VASCULAR AND THORACIC SURGICAL ASSOCIATES PC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

TENNESSEE VASCULAR AND THORACIC SURGICAL ASSOCIATES, PC
315 NW ATLANTIC ST
TULLAHOMA, TN37388
Phone: 931-841-3948
Fax: 931-841-3906
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for TENNESSEE VASCULAR AND THORACIC SURGICAL ASSOCIATES, PC

NPI Number 1093263055
Legal business name
LBN
TENNESSEE VASCULAR AND THORACIC SURGICAL ASSOCIATES, PC
Authorized official CHARLES DRUMMOND - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/19/2016
Last updated 07/18/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: MD39435
  • TN Medicaid: 4105344
  • TN Medicaid: Q022662

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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