Anderson Heart Physician

NPI #1811280209 in Oak Ridge, Tennessee

Provider Information

NPI Number: 1811280209
Entity Type: Organization
Organization Name: Anderson Heart Physician
Subpart: Yes (part of a larger organization)
Parent Organization: MERCY PHYSICIAN SERVICES, LLC
Primary Specialty: Clinic/Center
Enumeration Date: May 18, 2011
Last Updated: May 18, 2011

Practice Location

Address: 200 NEW YORK AVE STE 110
City: Oak Ridge
State: Tennessee
ZIP Code: 37830-5216
Phone: (865) 483-1110

Authorized Official

Name: SUSANNE NELMS
Title: EXECUTIVE DIRECTOR
Phone: (865) 549-4892

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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