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Organization

UMG CARDIOTHORACIC SURGERY LLC

Active
Other names
UMG CT Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE DEASON (DIRECTOR)
(706) 774-8326
Entity
Organization

Contact information

Practice address
820 SAINT SEBASTIAN WAY, STE. 6- B POB1, AUGUSTA, GA 30901-2643
(706) 722-8242
(706) 722-8351
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7263
(706) 774-7230

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
207RI0011X
Interventional Cardiology Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary

Other

Enumeration date
07/30/2013
Last updated
02/15/2017
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