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Organization

CARTERSVILLE PHYSICIAN PRACTICE I LLC

Active
Other names
Cartersville Physician Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
JEFF RYDBURG (VP)
(615) 373-7600
Entity
Organization

Contact information

Practice address
962 JOE FRANK HARRIS PKWY SE, SUITE 207, CARTERSVILLE, GA 30120-2154
(770) 607-7123
Mailing address
962 JOE FRANK HARRIS PKWY SE, SUITE 207, CARTERSVILLE, GA 30120-2154
(770) 607-7123

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
06/05/2006
Last updated
05/19/2008
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