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SOUTH CRESCENT CARDIOLOGY P.C. NPI 1033388210


NPI Information

NPI: 1033388210
Provider Name: SOUTH CRESCENT CARDIOLOGY, P.C.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
20 FRANCIS WAY
SUITE 101
SHARPSBURG, GA
ZIP 30277
Phone: (770) 253-0611
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SOUTH CRESCENT CARDIOLOGY, P.C. is a cardiovascular disease internal medicine in Sharpsburg, 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 CRESCENT CARDIOLOGY, P.C. NPI is 1033388210. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20 FRANCIS WAY
SUITE 101
SHARPSBURG, GA
ZIP 30277
Phone: (770) 253-0611
Fax: (770) 502-0521

The provider's authorized official is George Vellanikaran .
The authorized official title is President and has the following contact phone number (770) 253-0611.

The enumeration date for this NPI number is 2/21/2008 and was last updated on 2/21/2008.


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 Disease033219GEORGIAYes

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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