Provider Demographics
NPI:1831376292
Name:PIEDMONT CARDIOLOGY OF GEORGIA LLC
Entity type:Organization
Organization Name:PIEDMONT CARDIOLOGY OF GEORGIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGED CARE ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:KAYE
Authorized Official - Middle Name:
Authorized Official - Last Name:VERMONT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-636-9323
Mailing Address - Street 1:PO BOX 102070
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30368-2070
Mailing Address - Country:US
Mailing Address - Phone:404-636-9323
Mailing Address - Fax:404-320-6420
Practice Address - Street 1:275 COLLIER RD NW
Practice Address - Street 2:SUITE 500
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1709
Practice Address - Country:US
Practice Address - Phone:404-355-6562
Practice Address - Fax:404-351-5983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty