Organization
CA GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES B. DAVIS (EXECUTIVE DIRECTOR)
(618) 257-4644
Entity
Organization
Contact information
Practice address
4017 ILLINOIS ROUTE 159, SUITE 101, SMITHTON, IL 62285
(618) 257-2875
(618) 257-2895
Mailing address
4017 ILLINOIS ROUTE 159, SUITE 101, SMITHTON, IL 62285
(618) 257-2875
(618) 257-2895
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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