National Provider Identifier Database

SOUTH GEORGIA HEART AND VASCULAR ASSOCIATES LLC
Cardiovascular Disease

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.


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
* Cardiovascular Disease 207RC0000X
Vascular Specialist 246XC2903X

* Indicates primary specialty

NPI Profile & details for SOUTH GEORGIA HEART AND VASCULAR ASSOCIATES, LLC

NPI Number 1518629427
Legal business name
LBN
SOUTH GEORGIA HEART AND VASCULAR ASSOCIATES, LLC
Authorized official GARY DANIEL - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/07/2021
Last updated 10/07/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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