Organization
BAPTIST CARDIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A MASTERS PHD (ADMINISTRATOR)
(904) 425-4557
Entity
Organization
Contact information
Practice address
2060 DAN PROCTOR DR STE 3300, SAINT MARYS, GA 31558-3894
(904) 224-5189
Mailing address
PO BOX 43667, JACKSONVILLE, FL 32203-3667
(904) 224-5189
(904) 725-1622
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
GA
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
GA
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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