Atlanta Heart Center LLP

Organization Active NPI Specialist · Canton, GA

NPI 1205901022 · NPPES record last updated May 12, 2008

Key facts

NPI
1205901022
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
License
050581 (GA)
Legal business name
ATLANTA HEART CENTER LLP
Practice address
210 Oakside LN
Suite C
Canton, GA 30114-6417
Phone
(770) 704-1955
Fax
(770) 720-2388
NPI assigned
Nov 21, 2006
Organization subpart
No

Authorized official

Name
Dr. Ernesto E Hernandez, MD
Title
Cardiologist
Phone
(770) 704-1955

National Provider Directory

Locations

12 Sammy McGhee Blvd
Ste 202
Jasper, GA 30143
Phone (706) 253-4015

980 Johnson Ferry Rd
Ste 40
Sandy Springs, GA 30342
Phone (404) 252-2546

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
174400000X 050581 GA Yes

Addresses

Primary practice location

210 Oakside LN
Suite C
Canton, GA 30114-6417

Mailing address

210 Oakside LN
Suite C
Canton, GA 30114-6417
Phone (770) 704-1955

Other identifiers

IdentifierTypeStateIssuer
CK4374OtherRAILROAD MEDICARE

Other providers in Canton, GA

All providers in Canton, GA · Specialist in Georgia

Sources for this page

Verify at the official NPI Registry.