Organization
EAST COBB CARDIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NYDIA MARIE BLADUELL MD (OWNER)
(770) 427-0035
Entity
Organization
Contact information
Practice address
100 MARKET PLACE BLVD, SUITE 300, CARTERSVILLE, GA 30121-8717
(770) 427-0035
(678) 819-3549
Mailing address
100 MARKET PLACE BLVD, SUITE 300, CARTERSVILLE, GA 30121-8718
(678) 605-9095
(678) 605-9096
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
GA
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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