Organization
EAST COBB CARDIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NYDIA M BLADUELL M.D. (CEO)
(770) 427-0035
Entity
Organization
Contact information
Practice address
790 CHURCH ST NE, SUITE 470, MARIETTA, GA 30060-7282
(770) 427-0035
(678) 919-3549
Mailing address
790 CHURCH ST NE, SUITE 470, MARIETTA, GA 30060-7282
(770) 427-0035
(678) 919-3549
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
GA
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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