Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Cardiovascular Surgical Clinic PA

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1912058538

Cardiovascular Surgical Clinic PA provides Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician services in Jackson, Mississippi. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

501 Marshall St Ste 100
Jackson, MS 39202-1651
Phone: (601) 948-1416
Fax: (601) 353-9417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X

Record details

NPI number1912058538
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Hartman — Administrator · (601) 948-1416
NPI enumeratedJanuary 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address501 Marshall St, Suite 100, Jackson, MS 39202-1651

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