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GWINNETT CARDIOLOGY SERVICES LLC NPI 1306185491


NPI Information

NPI: 1306185491
Provider Name: GWINNETT CARDIOLOGY SERVICES LLC

Former Legal Business Name: CARDIOVASCULAR GROUP PC

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
755 WALTHER RD
LAWRENCEVILLE, GA
ZIP 30046
Phone: (855) 709-4535
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GWINNETT CARDIOLOGY SERVICES LLC 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. GWINNETT CARDIOLOGY SERVICES LLC NPI is 1306185491. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Cardiovascular Group Pc.

The provider's business location address is:

755 WALTHER RD
LAWRENCEVILLE, GA
ZIP 30046-725
Phone: (855) 709-4535
Fax: (770) 339-3459

The provider's authorized official is Jorge Hernandez .
The authorized official title is Vp Admin; Cco and has the following contact phone number (404) 851-6378.

The enumeration date for this NPI number is 2/8/2013 and was last updated on 1/11/2023.


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

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