Organization
NORTH GEORGIA HEALTH CARE GROUP LLC
Active
Other names
Georgia Medical Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC ANTHONY CAVACIUTI (OWNER)
(770) 345-2000
Entity
Organization
Contact information
Practice address
557 RIVERSTONE PKWY, SUITE 140, CANTON, GA 30114-5223
(770) 345-2000
(770) 345-4524
Mailing address
557 RIVERSTONE PKWY, SUITE 140, CANTON, GA 30114-5223
(770) 345-2000
(770) 345-4524
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
53772
GA
291U00000X
Clinical Medical Laboratory
53772
GA
Other
Enumeration date
05/31/2012
Last updated
11/10/2014
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