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CARDIOVASCULAR GROUP PC NPI 1215980479


NPI Information

NPI: 1215980479
Provider Name: CARDIOVASCULAR GROUP, PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
755 WALTHER RD
LAWRENCEVILLE, GA
ZIP 30045
Phone: (678) 252-3735
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CARDIOVASCULAR GROUP, PC is a cardiovascular disease internal medicine in Lawrenceville, GA. The provider is 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. CARDIOVASCULAR GROUP, PC NPI is 1215980479. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

755 WALTHER RD
LAWRENCEVILLE, GA
ZIP 30045-725
Phone: (678) 252-3735
Fax: (678) 252-3722

The provider's authorized official is Anne D. Liles .
The authorized official title is Credentialing Coordinator and has the following contact phone number (678) 252-3735.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.