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CARDIO THORACIC VASCULAR & PEDIATRIC SURGERY ASSOC PC NPI 1366516338


NPI Information

NPI: 1366516338
Provider Name: CARDIO THORACIC VASCULAR & PEDIATRIC SURGERY ASSOC PC
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
688 WALNUT ST
SUITE 200
MACON, GA
ZIP 31201
Phone: (478) 742-7566
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CARDIO THORACIC VASCULAR & PEDIATRIC SURGERY ASSOC PC is a thoracic surgery cardiothoracic vascular surgery in Macon, GA. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. CARDIO THORACIC VASCULAR & PEDIATRIC SURGERY ASSOC PC NPI is 1366516338. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

688 WALNUT ST
SUITE 200
MACON, GA
ZIP 31201-677
Phone: (478) 742-7566
Fax: (478) 743-2804

The provider's authorized official is Julie Weems .
The authorized official title is Office Manager and has the following contact phone number (478) 742-7566.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 10/6/2011.


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
12086S0129XSurgeryVascular SurgeryNo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP465MEDICARE ID-TYPE UNSPECIFIEDGEORGIA

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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