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Contact Information

SOUTH GEORGIA HEART AND VASCULAR ASSOCIATES, LLC
206 HOSPITAL DR STE A
DUBLIN, GA31021-2560
 Phone: 478-272-3525
 Fax: 478-272-3589
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Vascular Specialist

246XC2903X
Indicates primary specialty

NPI Profile & details for SOUTH GEORGIA HEART AND VASCULAR ASSOCIATES LLC · (Female)

NPI # 1518629427
Status Active
Credentials
Entity Individual
Enumeration date 10/07/2021
Last updated 10/07/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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