Organization
CARDIOVASCULAR GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE D. LILES CPCS, CPMSM (CREDENTIALING COORDINATOR)
(678) 252-3735
Entity
Organization
Contact information
Practice address
755 WALTHER RD, LAWRENCEVILLE, GA 30045-8725
(678) 252-3735
(678) 252-3722
Mailing address
755 WALTHER RD, LAWRENCEVILLE, GA 30045-8725
(678) 252-3735
(678) 252-3722
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/18/2006
Last updated
08/22/2020
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