is a Cardiovascular Disease in Atlanta, Georgia. practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for is 1528225356. The last update date is .
's current location address is Po Box 743294, Atlanta, Georgia. You can contact this provider via phone number 8642357665 and fax number 8642335971. The mailing address for is Po Box 743294, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 743294, Atlanta, Georgia |
| Phone Number | 8642357665 |
| Fax Number | 8642335971 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1528225356 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 743294 |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303743294 |
| Phone Number | 8642357665 |
| Fax Number | 8642335971 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 38456 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 384569 | SC | -- |
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