CARDIOLOGY CENTER OF DALTON PC NPI 1295749125

NPI Information

NPI: 1295749125
Provider Name: CARDIOLOGY CENTER OF DALTON PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 11D0961580

Address:
1411 CHATTANOOGA AVE
SUITE 101
DALTON, GA
ZIP 30720
Phone: (706) 272-0272
Get Directions

CARDIOLOGY CENTER OF DALTON PC is a cardiovascular disease internal medicine in Dalton, 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. CARDIOLOGY CENTER OF DALTON PC NPI is 1295749125. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1411 CHATTANOOGA AVE
SUITE 101
DALTON, GA
ZIP 30720-673
Phone: (706) 272-0272
Fax: (706) 272-0276

The provider's authorized official is Ezad N Ahmad .
The authorized official title is President and has the following contact phone number (706) 272-0272.

The CLIA number assigned to this NPI record is 11D0961580 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 2/25/2015.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease	038162	GEORGIA	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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	06BDGCN	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
2	000653397D	MEDICAID	GEORGIA
3	E50661	MEDICARE UPIN	GEORGIA

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: 5/5/2024

NPI Synchronization or Removal

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