Individual
ANTONIO V BAUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 FOX CHASE, CARTERSVILLE, GA 30120-2491
(770) 382-0185
(770) 382-0247
Mailing address
40 FOX CHASE, CARTERSVILLE, GA 30120-2491
(352) 617-9649
(770) 382-0247
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19142
GA
207RC0000X
Cardiovascular Disease Physician
Primary
19142
GA
207UN0901X
Nuclear Cardiology Physician
19142
GA
207UN0902X
Nuclear Imaging & Therapy Physician
19142
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000202705AJ
—
GA
05
—
000202705AK
—
GA
Enumeration date
08/26/2005
Last updated
12/27/2023
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