Provider Demographics
NPI:1154370948
Name:CARDIOTHORACIC SURGERY CENTER, P.L.C.
Entity type:Organization
Organization Name:CARDIOTHORACIC SURGERY CENTER, P.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:731-424-5080
Mailing Address - Street 1:329 COATSLAND DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38301-3912
Mailing Address - Country:US
Mailing Address - Phone:731-424-5080
Mailing Address - Fax:731-424-4109
Practice Address - Street 1:329 COATSLAND DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-3912
Practice Address - Country:US
Practice Address - Phone:731-424-5080
Practice Address - Fax:731-424-4109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty