SOUTHEASTERN CARDIOVASCULAR ASSOCIATES LLC NPI 1982940987

NPI Information

  • NPI: 1982940987
  • Provider Name: SOUTHEASTERN CARDIOVASCULAR ASSOCIATES LLC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • CLIA Number: 11D1107428
  • Address: 1076 BERMUDA RUN
    STATESBORO, GA
    ZIP 30458
  • Phone: (912) 871-7810

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

What is NPI?

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This page was last updated on: 3/30/2025

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