Cumming Medical Ventures

NPI #1356459911 in Cumming, Georgia

Provider Information

NPI Number: 1356459911
Entity Type: Organization
Organization Name: Cumming Medical Ventures
Primary Specialty: Specialist
Enumeration Date: Aug 25, 2006
Last Updated: Mar 5, 2008

Practice Location

Address: 1230 BALD RIDGE MARINA RD
City: Cumming
State: Georgia
ZIP Code: 30041-7536
Phone: (770) 781-6350

Authorized Official

Name: EUGENE E GOEDTKE
Title: BUSINESS OFFICE MANAGER
Phone: (770) 781-6350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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