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

Mid South Vascular Clinic

Organization Cardiovascular Disease Physician · NPI 1003837279

Mid South Vascular Clinic is a Cardiovascular Disease Physician in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006

Practice location Address checks out

6027 Walnut Grove Rd Ste 205
Memphis, TN 38120-2145
Phone: (901) 683-4471
Fax: (901) 683-3915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 06816 (TN)

Record details

NPI number1003837279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesse Davis — Owner · (901) 683-4471
NPI enumeratedJuly 22, 2006
Last updated in NPPESJuly 8, 2008
Mailing address6027 Walnut Grove Rd, Suite 205, Memphis, TN 38120-2145

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