Organization
CRNG,LLC
Active
Other names
DBA WEST GEORGIA CARDIOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLIE C ROUSE MD (MANAGING PARTNER)
(770) 838-8440
Entity
Organization
Contact information
Practice address
100 PROFESSIONAL PL, SUITE 303, CARROLLTON, GA 30117-3874
(770) 838-8440
(770) 838-8443
Mailing address
100 PROFESSIONAL PL, SUITE 303, CARROLLTON, GA 30117-3874
(770) 838-8440
(770) 838-8443
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
05/20/2008
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