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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