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NPI Code Detail

MEDICARE: MID-STATE CARDIOLOGY ASSOCIATES, P.C.

MEDICARE: MID-STATE CARDIOLOGY ASSOCIATES, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistTN

General Provider Information

NPI Number : 1740276450
Entity Type Code : Organization
Provider Name (Legal Business Name) : MID-STATE CARDIOLOGY ASSOCIATES, P.C.
Provider Business Mailing Address
First Line : 222 22ND AVE N
Second Line : SUITE 400
City : NASHVILLE
State : TN
Zip : 37203-1852
Country : US
Telephone Number : 615-329-5144
Fax Number : 615-284-2751
Provider Business Practice Location Address
First Line : 222 22ND AVE N
Second Line : SUITE 400
City : NASHVILLE
State : TN
Zip : 37203-1852
Country : US
Telephone Number : 615-329-5144
Fax Number : 615-284-2751
Authorized Official
Title or Position : CEO
Name : DR. GEORGE H. CROSSLEY III
Credential : M.D.
Telephone Number : 615-329-5144
Provider Enumeration Date : 09/27/2005
Last Update Date : 08/22/2020

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