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HEART OF GEORGIA RHEUMATOLOGY LLC NPI 1013312040


NPI Information

NPI: 1013312040
Provider Name: HEART OF GEORGIA RHEUMATOLOGY LLC
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

CLIA Number: 11D2092354

Address:
1508 HARDEMAN AVE STE A
MACON, GA
ZIP 31201
Phone: (478) 742-3704
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HEART OF GEORGIA RHEUMATOLOGY LLC is a rheumatology internal medicine in Macon, GA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. HEART OF GEORGIA RHEUMATOLOGY LLC NPI is 1013312040. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1508 HARDEMAN AVE STE A
MACON, GA
ZIP 31201-471
Phone: (478) 742-3704
Fax: (478) 738-8609

The provider's authorized official is Nannette R Crowley .
The authorized official title is Founding Member and has the following contact phone number (478) 742-3704.

The CLIA number assigned to this NPI record is 11D2092354 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2014 and was last updated on 3/3/2020.


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
1207RR0500XInternal MedicineRheumatology052700GEORGIAYes

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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