Healthcare Provider Details

I. General information

NPI: 1356473441
Provider Name (Legal Business Name): ARRHYTHMIA AND CARDIOLOGY OF
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 07/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

979 E 3RD ST SUITE A-350
CHATTANOOGA TN
37403-2136
US

IV. Provider business mailing address

979 E 3RD ST SUITE A-350
CHATTANOOGA TN
37403-2136
US

V. Phone/Fax

Practice location:
  • Phone: 423-778-7156
  • Fax: 423-778-7201
Mailing address:
  • Phone: 423-778-7156
  • Fax: 423-778-7201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GERSHON Y PERRY
Title or Position: DR.
Credential: M.D., F.A.C.C.
Phone: 423-778-7156