MEDICARE: THE HEART AND VASCULAR CLINIC 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
1	207RC0000X	Cardiovascular Disease Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1700940582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HEART AND VASCULAR CLINIC P.C.

Provider Business Mailing Address
First Line	:	2410 PATTERSON ST STE 212
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1553
Country	:	US
Telephone Number	:	615-515-2929
Fax Number	:

Provider Business Practice Location Address
First Line	:	2410 PATTERSON ST STE 212
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1553
Country	:	US
Telephone Number	:	615-515-2929
Fax Number	:	615-515-2922

Authorized Official
Title or Position	:	OFFICE RECEPTIONIST
Name	:	CAROLYN ROBINSON
Credential	:
Telephone Number	:	615-515-2929

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	04/01/2019

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Directions to “THE HEART AND VASCULAR CLINIC P.C. ” Practice Location

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