NPI 1164745238

Mid South Regional Thoracic Center, LLC

Organisation Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Memphis, TN

Practice location

Address: 6029 Walnut Grove Rd Suite 100, Memphis, TN 38120-2112
Phone: (901) 259-4130
Fax: (901) 259-4131

Authorised official

Name: Mathew Ninan
Title: Owner
Phone: (901) 259-4130

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence MD5950415 (TN)

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Tennessee →

Registry record

NPI: 1164745238
Entity type: Organization
NPI issued: 3 Mar 2010
Record last updated: 3 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.