Eastern Shore Heart Center

NPI #1740394105 in Fairhope, Alabama

Provider Information

NPI Number: 1740394105
Entity Type: Organization
Organization Name: Eastern Shore Heart Center
Primary Specialty: Specialist
Enumeration Date: Aug 19, 2006
Last Updated: Mar 17, 2008

Practice Location

Address: 19725 SOUTH GREENO ROAD
City: Fairhope
State: Alabama
ZIP Code: 36532-3843
Phone: (251) 990-1930

Authorized Official

Name: DR. CRAIG R PETERSON, M.D.
Title: PHYSICIAN /PRESIDENT
Phone: (251) 990-1930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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