Provider Demographics
NPI:1699802371
Name:TENNESSEE HEART AND LUNG INSTITUTE PLC
Entity type:Organization
Organization Name:TENNESSEE HEART AND LUNG INSTITUTE PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-552-1221
Mailing Address - Street 1:1731 MEMORIAL DR
Mailing Address - Street 2:SUITE 209
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-4523
Mailing Address - Country:US
Mailing Address - Phone:931-552-1221
Mailing Address - Fax:931-552-1118
Practice Address - Street 1:1731 MEMORIAL DR
Practice Address - Street 2:SUITE 209
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-4523
Practice Address - Country:US
Practice Address - Phone:931-552-1221
Practice Address - Fax:931-552-1118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40602174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
3732694Medicare ID - Type Unspecified
F43011Medicare UPIN