Organization
CARDIOVASCULAR PULMONARY RESEARCH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH M VANDEWATER M.D. (PROFESSOR)
(478) 955-4358
Entity
Organization
Contact information
Practice address
114 IDLE HOUR DR, MACON, GA 31210-4434
(478) 955-4358
Mailing address
114 IDLE HOUR DR, MACON, GA 31210-4434
(478) 955-4358
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary
22658
GA
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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