NPI | 1689811390 |
---|---|
Doing Business As | CHATTAHOOCHEE VALLEY CARDIOLOGY MD, P.C |
Entity Type | Organization |
Authorized Contact | SEBASTIAN OTTO HUBBUCH President 706-565-7382 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 16161) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AL 532) |
363AM0700X Physician Assistant, Medical (Licence: AL 242) | |
Enumeration Date | 2009-01-16 |
Last Update Date | 2009-01-19 |