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Mid South Vascular Clinic

NPI #1003837279 in Memphis, Tennessee

Provider Information

NPI Number
1003837279
Entity Type
Organization
Organization Name
Mid South Vascular Clinic
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Jul 22, 2006
Last Updated
Jul 8, 2008

Practice Location

Address
6027 WALNUT GROVE RD
Address 2
SUITE 205
City
Memphis
State
Tennessee
ZIP Code
38120-2145
Phone
(901) 683-4471

Authorized Official

Name
DR. JESSE T DAVIS, MD
Title
OWNER
Phone
(901) 683-4471

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease

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