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General NPI Number Information
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NPI Number | 1699164657
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Entity Type | Organization
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Legal Business Name | GEORGIA PHYSICIANS OF CARDIOLOGY, LLC
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Dates
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Enumeration Date | 01/14/2015
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Last Update Date | 06/07/2016
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Provider Practice Location Address
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Address Line | 999 PEACH STREET NE, STE 850
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City | ATLANTA
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State | GA
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Zip | 30309-3964
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Country | US
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Telephone | 404-874-1788
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Fax | 404-872-4589
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Provider Business Mailing Address
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Address Line | PO BOX 743266
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City | ATLANTA
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State | GA
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Zip | 30374-3266
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Country | US
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Telephone | 404-874-1788
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Fax | 404-872-4589
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Authorized Official
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Title or Position | REGIONAL CFO, TENET
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Name | MR. WESLEY O. JAMES
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Credential |
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Telephone | 404-265-5009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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