Individual
DR. CESAR A EGOAVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938
Mailing address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
56435
GA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
56435
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
723886416G
—
GA
05
—
723886416I
—
GA
05
—
723886416J
—
GA
05
—
723886416K
—
GA
05
—
723886416L
—
GA
05
—
723886416M
—
GA
Enumeration date
03/16/2006
Last updated
11/22/2019
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