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
830 ADMIRAL WEINEL BLVD, COLUMBIA, IL 62236-1992
(618) 281-7373
(618) 281-6463
Mailing address
830 ADMIRAL WEINEL BLVD, COLUMBIA, IL 62236-1992
(618) 281-7373
(618) 281-6463
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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