Provider Demographics
NPI:1689845950
Name:CARDIOVASCULAR CONSULTANTS OF GEORGIA, P.C.
Entity Type:Organization
Organization Name:CARDIOVASCULAR CONSULTANTS OF GEORGIA, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NIMISH
Authorized Official - Middle Name:
Authorized Official - Last Name:DHRUVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-253-0611
Mailing Address - Street 1:20 FRANCIS WAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SHARPSBURG
Mailing Address - State:GA
Mailing Address - Zip Code:30277
Mailing Address - Country:US
Mailing Address - Phone:770-253-0611
Mailing Address - Fax:770-502-0521
Practice Address - Street 1:20 FRANCIS WAY
Practice Address - Street 2:SUITE 101
Practice Address - City:SHARPSBURG
Practice Address - State:GA
Practice Address - Zip Code:30277
Practice Address - Country:US
Practice Address - Phone:770-253-0611
Practice Address - Fax:770-502-0521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-14
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA045200207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty