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HEART OF GEORGIA CARDIOLOGY LLC NPI 1194879866


NPI Information

NPI: 1194879866
Provider Name: HEART OF GEORGIA CARDIOLOGY LLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 11D0972850

Address:
2064 VINEVILLE AVE
MACON, GA
ZIP 31204
Phone: (478) 745-5035
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HEART OF GEORGIA CARDIOLOGY LLC is a specialist in Macon, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HEART OF GEORGIA CARDIOLOGY LLC NPI is 1194879866. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2064 VINEVILLE AVE
MACON, GA
ZIP 31204-140
Phone: (478) 745-5035
Fax: (478) 746-8536

The provider's authorized official is Maria H Bartlett .
The authorized official title is Managing Partner and has the following contact phone number (478) 745-5035.

The CLIA number assigned to this NPI record is 11D0972850 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 7/15/2008.


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
1174400000XSpecialistYes

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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