Organization
INTENSIVE CARE CONSORTIUM INC
Active
Parent organization
INTENSIVE CARE CONSORTIUM INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTENSIVE CARE CONSORTIUM INC
Authorized official
CARLOS MOAS (VICE PRESIDENT)
(615) 372-5068
Entity
Organization
Contact information
Practice address
3651 WHEELER RD, AUGUSTA, GA 30909-6521
(615) 372-5068
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 373-7406
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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