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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 | |
Interventional Cardiology |
207RI0011X | 11 | Physician/Internal Medicine |
| NPI Number | 1861427775 |
| LBN Legal business name | CCCG, LLC |
| Authorized official | SAMUEL ODLE - (PRESIDENT, CEO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 07/11/2006 |
| Last updated | 09/21/2007 - About 19 years ago |
| Identifiers | n/a |
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CCCG, LLC