Organization
CARDIOLOGY SPECIALISTS OF GEORGIA LLC
Active
Organization
CARDIOLOGY SPECIALISTS OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SCOTT FENSTER M.D. (MANAGING PARTNER)
(229) 391-9980
Entity
Organization
Contact information
Practice address
907 18TH ST E, SUITE 100, TIFTON, GA 31794-3643
(229) 391-9980
(229) 391-9984
Mailing address
907 18TH ST E, SUITE 100, TIFTON, GA 31794-3643
(229) 391-9980
(229) 391-9984
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
057762
GA
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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