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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

NPI Number 1518629427
LBN Legal business name SOUTH GEORGIA HEART AND VASCULAR ASSOCIATES, LLC
Authorized official GARY DANIEL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/07/2021
Last updated 10/07/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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