Organization
HEART & VASCULAR CARE OF GEORGIA PC
Active
Organization
HEART & VASCULAR CARE OF GEORGIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAKSHMI MANDAVILLI (BILLING MANAGER)
(404) 944-7914
Entity
Organization
Contact information
Practice address
505 JENKINS ST, LAGRANGE, GA 30240-4225
(404) 944-7914
Mailing address
505 JENKINS ST, LAGRANGE, GA 30240-4225
(404) 944-7914
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
GA
Other
Enumeration date
03/26/2013
Last updated
06/25/2013
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