Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cardiovascular Surgical Clinic PA

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

Cardiovascular Surgical Clinic PA is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 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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