Organization
CLASSIC CITY CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN JAMISON (BILLING MANAGER)
(706) 543-8444
Entity
Organization
Contact information
Practice address
1500 OGLETHORPE AVE, SUITE 300 B, ATHENS, GA 30606-2179
(706) 543-8444
(706) 543-5656
Mailing address
1500 OGLETHORPE AVE, SUITE 300 B, ATHENS, GA 30606-2179
(706) 543-8444
(706) 543-5656
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
038831
GA
207UN0901X
Nuclear Cardiology Physician
Primary
038831
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60051487
RAILROAD MEDICARE
—
01
—
731865
BLUE CROSS/ BLUE SHIELD
GA
Enumeration date
07/08/2006
Last updated
09/11/2025
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