SOUTH GEORGIA HEART AND VASCULAR ASSOCIATES LLC NPI 1518629427

NPI Information

NPI: 1518629427
Provider Name: SOUTH GEORGIA HEART AND VASCULAR ASSOCIATES, LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 11D0960511

Address:
206 HOSPITAL DR STE A
DUBLIN, GA
ZIP 31021
Phone: (478) 272-3525
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SOUTH GEORGIA HEART AND VASCULAR ASSOCIATES, LLC is a cardiovascular disease internal medicine in Dublin, 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. SOUTH GEORGIA HEART AND VASCULAR ASSOCIATES, LLC NPI is 1518629427. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

206 HOSPITAL DR STE A
DUBLIN, GA
ZIP 31021-560
Phone: (478) 272-3525
Fax: (478) 272-3589

The provider's authorized official is Gary Daniel .
The authorized official title is Owner and has the following contact phone number (478) 272-3525.

The CLIA number assigned to this NPI record is 11D0960511 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2021 and was last updated on 10/7/2021.

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
1	246XC2903X	Specialist/Technologist Cardiovascular	Vascular Specialist			No
2	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

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: 4/28/2024

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