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SOUTHEASTERN CARDIOVASCULAR ASSOCIATES LLC NPI 1982940987


NPI Information

NPI: 1982940987
Provider Name: SOUTHEASTERN CARDIOVASCULAR ASSOCIATES LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 11D1107428

Address:
1076 BERMUDA RUN
STATESBORO, GA
ZIP 30458
Phone: (912) 871-7810
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SOUTHEASTERN CARDIOVASCULAR ASSOCIATES LLC is a cardiovascular disease internal medicine in Statesboro, 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. SOUTHEASTERN CARDIOVASCULAR ASSOCIATES LLC NPI is 1982940987. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1076 BERMUDA RUN
STATESBORO, GA
ZIP 30458-858
Phone: (912) 871-7810
Fax: (912) 871-7820

The provider's authorized official is Anthony B Chappell .
The authorized official title is Owner and has the following contact phone number (912) 871-7810.

The CLIA number assigned to this NPI record is 11D1107428 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2012 and was last updated on 12/19/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 4/28/2024

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