Organization
ATHENS THORACIC & VASCULAR SURGERY, PC
Active
Other names
ATHENS CARDIOVASCULAR & THORACIC SURGERY ASSOC, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT J MAFFEI MD (PRESIDENT)
(706) 208-1144
Entity
Organization
Contact information
Practice address
784 PRINCE AVE, ATHENS, GA 30606-5902
(706) 208-1144
(706) 208-9668
Mailing address
784 PRINCE AVE, ATHENS, GA 30606-5902
(706) 208-1144
(706) 208-9668
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55002007A
—
GA
Enumeration date
11/21/2005
Last updated
10/30/2020
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