MEDICARE: STROKE & HEART ATTACK PREVENTION CENTER, PLLC

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
1	2084N0400X	Neurology Physician	MD009933	TN

General Provider Information

NPI Number	:	1134316946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STROKE & HEART ATTACK PREVENTION CENTER, PLLC

Provider Business Mailing Address
First Line	:	2000 GLEN ECHO RD
Second Line	:	SUITE 122
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2857
Country	:	US
Telephone Number	:	615-297-5300
Fax Number	:	615-297-5301

Provider Business Practice Location Address
First Line	:	2000 GLEN ECHO RD
Second Line	:	SUITE 122
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2857
Country	:	US
Telephone Number	:	615-297-5300
Fax Number	:	615-297-5301

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALFRED S CALLAHAN III
Credential	:	M.D.
Telephone Number	:	615-297-5300

Provider Enumeration Date	:	09/26/2007
Last Update Date	:	10/30/2023

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