# TWIN ARRHYTHMIA GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physician Clinic Office
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730662750
- **Authorized official:** DR. ONAJEFE S NELSON-TWAKOR MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (478) 338-9161

## Contact information

- **Practice address:** 770 PINE ST STE 200, MACON, GA 31201-7513
- **Practice address phone:** (478) 338-9161
- **Practice address fax:** (478) 259-1541
- **Mailing address:** PO BOX 4163, MACON, GA 31208-4163
- **Mailing address phone:** (478) 338-9161
- **Mailing address fax:** (478) 259-1541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2018
- **Last updated:** 04/06/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CARESOURCE | CS1712105106 | GA |