NPI 1659656403

Wellstar Cardiovascular Medicine, LLC

Organisation Cardiovascular Disease Physician Hiram, GA

Practice location

Address: 148 Bill Carruth Pkwy Suite 100, Hiram, GA 30141-3754
Phone: (678) 324-4444
Fax: (770) 528-9932
Mailing address: 55 Whitcher St NE Suite 350, Marietta, GA 30060-1155

Authorised official

Name: Barry D Mangel
Title: Chief Cardiology Officer
Phone: (770) 424-6893

Registered specialties (3)

Cardiovascular Disease Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RC0000X

Other Internal Medicine providers in Georgia →

Clinical Cardiac Electrophysiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207RC0001X

Interventional Cardiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207RI0011X

Registry record

NPI: 1659656403
Entity type: Organization
NPI issued: 12 Oct 2011
Record last updated: 9 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.