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NPI Code Detail

MEDICARE: HICKORY HEART, LUNG & VASCULAR ASSOCIATES, PA

MEDICARE: HICKORY HEART, LUNG & VASCULAR ASSOCIATES, PA
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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician61915NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427019603
Entity Type Code : Organization
Provider Name (Legal Business Name) : HICKORY HEART, LUNG & VASCULAR ASSOCIATES, PA
Provider Business Mailing Address
First Line : 420 N CENTER ST
Second Line :
City : HICKORY
State : NC
Zip : 28601-5046
Country : US
Telephone Number : 828-323-1100
Fax Number : 828-324-9189
Provider Business Practice Location Address
First Line : 420 N CENTER ST
Second Line :
City : HICKORY
State : NC
Zip : 28601-5046
Country : US
Telephone Number : 828-323-1100
Fax Number : 828-324-9189
Authorized Official
Title or Position : CO-OWNER
Name : DR. CEMIL M PURUT
Credential : MD
Telephone Number : 828-323-1100
Provider Enumeration Date : 03/29/2006
Last Update Date : 11/23/2009

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