Provider Demographics
NPI:1821281015
Name:CAPITOL CITY CARDIOLOGY, INC.
Entity Type:Organization
Organization Name:CAPITOL CITY CARDIOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-280-3916
Mailing Address - Street 1:423 E TOWN ST
Mailing Address - Street 2:ATTN: MELISSA MUETZEL
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-4748
Mailing Address - Country:US
Mailing Address - Phone:614-280-3916
Mailing Address - Fax:614-722-7945
Practice Address - Street 1:340 E TOWN ST
Practice Address - Street 2:SUITE 7 - 100
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-4600
Practice Address - Country:US
Practice Address - Phone:614-228-6690
Practice Address - Fax:614-228-7740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty