NPI | 1174506539 |
---|---|
Former Legal Business Name | ATHENS CARDIOVASCULAR & THORACIC SURGERY ASSOC, PC |
Entity Type | Organization |
Authorized Contact | VINCENT J MAFFEI President 706-208-1144 |
Organization Subpart ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
Enumeration Date | 2005-11-21 |
Last Update Date | 2020-10-30 |