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ATHENS HEART CENTER NPI 1447338744


NPI Information

NPI: 1447338744
Provider Name: ATHENS HEART CENTER
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 11D0879792

Address:
11973 AUGUSTA RD
LAVONIA, GA
ZIP 30553
Phone: (706) 356-8181
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ATHENS HEART CENTER is a cardiovascular disease internal medicine in Lavonia, GA. The provider is 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. ATHENS HEART CENTER NPI is 1447338744. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11973 AUGUSTA RD
LAVONIA, GA
ZIP 30553-283
Phone: (706) 356-8181

The provider's authorized official is Subodh K Agrawal .
The authorized official title is Owner and has the following contact phone number (706) 356-8181.

The CLIA number assigned to this NPI record is 11D0879792 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 10/12/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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