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Organization
TWIN ARRHYTHMIA GROUP, LLC
Active
Organization
TWIN ARRHYTHMIA GROUP, LLC
Active
Other names
Physician Clinic Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ONAJEFE S NELSON-TWAKOR MD (MEDICAL DIRECTOR)
(478) 338-9161
Entity
Organization
Contact information
Practice address
770 PINE ST STE 200, MACON, GA 31201-7513
(478) 338-9161
(478) 259-1541
Mailing address
PO BOX 4163, MACON, GA 31208-4163
(478) 338-9161
(478) 259-1541
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
NULL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CARESOURCE
CS1712105106
GA
Enumeration date
09/14/2018
Last updated
04/06/2020
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