| NPI | 1275601569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJIV VERMA Owner Director 706-529-9301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 48468) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 38950) |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: GA 48468) | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: TN 38950) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2009-04-28 |