CARDIOVASCULAR GROUP

LAWRENCEVILLE, GA
NPI1003140351
Entity TypeOrganization
Authorized ContactMARIAH WOOD THAXTON
Physician Assistant
478-457-7128
Organization Subpart ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2009-09-18
Last Update Date2012-10-03
Business Address
CARDIOVASCULAR GROUP
755 WALTHER RD
LAWRENCEVILLE, GA 30046-8725
Phone number: 678-252-3707
Mailing Address
CARDIOVASCULAR GROUP
1051 STONE SHOALS CT
WATKINSVILLE, GA 30677-2774
Phone number:
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