Cardiovascular Group
NPI #1003140351 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1003140351
- Entity Type
- Organization
- Organization Name
- Cardiovascular Group
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Sep 18, 2009
- Last Updated
- Oct 3, 2012
Practice Location
- Address
- 755 WALTHER RD
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30046-8725
- Phone
- (678) 252-3707
Authorized Official
- Name
- MRS. MARIAH WOOD THAXTON, PA-C
- Title
- PHYSICIAN ASSISTANT
- Phone
- (478) 457-7128
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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