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Individual

DR. LOUIS G PREVOSTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
147 REINHARDT COLLEGE PKWY STE 10, CANTON, GA 30114-5295
(470) 394-6669
(470) 567-9047
Mailing address
147 REINHARDT COLLEGE PKWY STE 10, CANTON, GA 30114-5295
(470) 567-9047
(855) 538-1680

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
034923
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000469994F
GA
01
330005751
RR MEDICARE
GA
01
610271
BCBS EDI
GA
Enumeration date
04/19/2006
Last updated
01/13/2026
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