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CVG PHYSICIANS GROUP LLC NPI 1689197378


NPI Information

NPI: 1689197378
Provider Name: CVG PHYSICIANS GROUP, LLC

Doing Business As: CARDIOVASCULAR GROUP

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 11D2275298

Address:
755 WALTHER RD
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 962-0399
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CVG PHYSICIANS GROUP, 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. CVG PHYSICIANS GROUP, LLC NPI is 1689197378. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cardiovascular Group.

The provider's business location address is:

755 WALTHER RD
LAWRENCEVILLE, GA
ZIP 30046-725
Phone: (770) 962-0399
Fax: (770) 995-0533

The provider's authorized official is Manfred Sandler .
The authorized official title is Directing Manager and has the following contact phone number (770) 962-0399.

The CLIA number assigned to this NPI record is 11D2275298 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2017 and was last updated on 3/17/2018.


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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003196217AMEDICAIDGEORGIA

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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