Cardiovascular Group

Physician Assistant · Lawrenceville, GA

Organization Active NPI

NPI number 1003140351

Practice location

755 Walther Rd
Lawrenceville, GA 30046-8725
Phone
(678) 252-3707

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NPI record

NPI
1003140351
Entity type
Organization (Type 2)
Enumeration date
September 18, 2009
Last updated
October 3, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

Mailing address

1051 Stone Shoals Ct
Watkinsville, GA 30677-2774

Authorized official

Name
Mrs. Mariah Wood Thaxton, PA-C
Title
Physician Assistant
Phone
(478) 457-7128

About Cardiovascular Group

Cardiovascular Group is a healthcare organization registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 755 Walther Rd, Lawrenceville, GA 30046-8725. The NPI number 1003140351 was assigned on September 18, 2009 and the record was last updated on October 3, 2012.

The authorized official for this organization is Mrs. Mariah Wood Thaxton, PA-C, Physician Assistant.

Frequently asked questions

What is the NPI number of Cardiovascular Group?

The NPI number is 1003140351.

What is the phone number of Cardiovascular Group?

The phone number listed for the practice location is (678) 252-3707.

Where is Cardiovascular Group located?

755 Walther Rd, Lawrenceville, GA 30046-8725.

What is the taxonomy code for Cardiovascular Group?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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