Provider Demographics
NPI:1134315641
Name:NORTH ATLANTA HEART GROUP
Entity Type:Organization
Organization Name:NORTH ATLANTA HEART GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEUSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-664-6075
Mailing Address - Street 1:1357 HEMBREE RD
Mailing Address - Street 2:150
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-5722
Mailing Address - Country:US
Mailing Address - Phone:770-664-6075
Mailing Address - Fax:770-664-5131
Practice Address - Street 1:1357 HEMBREE RD
Practice Address - Street 2:150
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-5722
Practice Address - Country:US
Practice Address - Phone:770-664-6075
Practice Address - Fax:770-664-5131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty