Provider Demographics
NPI:1225222771
Name:TENNESSEE HEART RHYTHM CENTER PLLC
Entity type:Organization
Organization Name:TENNESSEE HEART RHYTHM CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:KLUGEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:4236-101-4444
Mailing Address - Street 1:2333 KNOB CREEK RD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-2007
Mailing Address - Country:US
Mailing Address - Phone:423-610-1444
Mailing Address - Fax:
Practice Address - Street 1:2333 KNOB CREEK RD
Practice Address - Street 2:SUITE 12
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-2007
Practice Address - Country:US
Practice Address - Phone:423-610-1444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN42656207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty