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George T Deriso III, MD
Cardiovascular Disease Physician in Austell, Georgia
NPI 1639396518

George T Deriso III is a Cardiovascular Disease Physician based in Marietta, GA and is specialized in Cardiovascular Disease. George T Deriso III practices in Austell, GA and has the professional credentials of MD. The NPI Number for George T Deriso III is 1639396518 and holds a License No. 047732 (Georgia).

The current practice location address for George T Deriso III is 1700 Hospital South Dr, Austell, GA and can be reached out via phone at 770-424-6893 and via fax at 770-528-9938.

Location: 1700 Hospital South Dr, Austell, GA, 30066-6340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639396518
Provider Name
George T Deriso III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1700 Hospital South Dr, Austell, GA, 30066-6340
Phone Number
770-424-6893
Fax Number
770-528-9938
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000904208W 05 GA
000904208T 05 GA
000904208V 05 GA
000904208S 05 GA
institution
Provider Business Practice Location Address Details
Address
1700 Hospital South Dr
City
Austell
State
Georgia
Zip
30106-6810
Phone Number
770-424-6893
Fax Number
770-528-9938
person
Provider Business Mailing Address Details
Address
1700 Hospital South Dr
City
Austell
State
Georgia
Zip
30106-6810
Phone Number
770-424-6893
Fax Number
770-528-9938
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
047732 (Georgia)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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