Organization
GWINNETT CONSULTANTS IN CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL A BAHIN (PRACTICE MANAGER)
(770) 962-4895
Entity
Organization
Contact information
Practice address
631 PROFESSIONAL DRIVE, STE 360, LAWRENCEVILLE, GA 30046-0000
(770) 962-4895
(770) 962-4792
Mailing address
631 PROFESSIONAL DR, STE 360, LAWRENCEVILLE, GA 30046-3367
(770) 962-4895
(770) 962-4792
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55000865A
—
GA
Enumeration date
12/14/2006
Last updated
04/16/2013
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