Wellstar Cardiovascular Medicine, Llc
LBN: Wellstar Cardiovascular Medicine, Llc
Wellstar Cardiovascular Medicine, Llc is an health care organization with primary practice located at 699 Church St Ne Suite 240, Marietta GA 30060-1110. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty.
Wellstar Cardiovascular Medicine, Llc can be contacted via phone (770) 792-7106, or through Mangel, Barry D via phone (770) 424-6893.
Contact Information
Primary practice address
699 Church St Ne Suite 240
Marietta GA 30060-1110
Phone: (770) 792-7106
Fax: (770) 422-5033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | ||
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X |
Profile Details
| NPI number | 1902183742 |
|---|---|
| LBN Legal business name | Wellstar Cardiovascular Medicine, Llc |
| DBA Doing business as | |
| Authorized official | Mangel, Barry D |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 8th, 2011 |
| Last updated | May 9th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902183742 | NPPES |
| Georgia | MEDICAID | 386693863A |
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