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NPI Profile for WELLSTAR PROFESSIONAL SERVICES LLC in MARIETTA, GA.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Infectious Disease |
207RI0200X | 11 | Physician/Internal Medicine | |
Pediatric Cardiology |
2080P0202X | 37 | Physician/Pediatric Medicine | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease |
| NPI # | 1518139195 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/24/2008 | |
| Last updated | 07/14/2008 - About 18 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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WELLSTAR PROFESSIONAL SERVICES, LLC
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WELLSTAR PROFESSIONAL SERVICES, LLC