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NPI Profile for CARDIOLOGY CARE CLINIC LLC in EATONTON, 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 | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Rehabilitation: Cardiac Facilities |
261QR0404X |
| NPI Number | 1962764639 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/08/2012 | |
| Last updated | 07/27/2020 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CARDIOLOGY CARE CLINIC, LLC