is a Cardiovascular Disease in Atlanta, Georgia. practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for is 1427000959. The last update date is .
's current location address is 1110 W Peachtree St Nw Ste 920, Atlanta, Georgia. You can contact this provider via phone number 4049626000 and fax number 4049626001. The mailing address for is 1110 W Peachtree St Nw Ste 920, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1110 W Peachtree St Nw Ste 920, Atlanta, Georgia |
| Phone Number | 4049626000 |
| Fax Number | 4049626001 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1427000959 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1110 W Peachtree St Nw Ste 920 |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303093609 |
| Phone Number | 4049626000 |
| Fax Number | 4049626001 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 41016 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 06BDHCB | GA | MEDICARE ID | |
| 00685209B | GA | -- |
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