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1003140351
CARDIOVASCULAR GROUP
LAWRENCEVILLE, GA
NPI
1003140351
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Entity Type
Organization
Authorized Contact
MARIAH WOOD THAXTON
Physician Assistant
478-457-7128
Organization Subpart ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2009-09-18
Last Update Date
2012-10-03
Business Address
CARDIOVASCULAR GROUP
755 WALTHER RD
LAWRENCEVILLE, GA 30046-8725
Phone number: 678-252-3707
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Mailing Address
CARDIOVASCULAR GROUP
1051 STONE SHOALS CT
WATKINSVILLE, GA 30677-2774
Phone number:
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