GAINESVILLE HEART AND VASCULAR GROUP PC NPI 1477861557

NPI Information

  • NPI: 1477861557
  • Provider Name: GAINESVILLE HEART AND VASCULAR GROUP PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 11D0957452
  • Address: 705 JESSE JEWELL PKWY SE STE 200
    GAINESVILLE, GA
    ZIP 30501
  • Phone: (770) 534-9014

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NPI Details

GAINESVILLE HEART AND VASCULAR GROUP PC is a specialist in Gainesville, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GAINESVILLE HEART AND VASCULAR GROUP PC NPI is 1477861557. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

705 JESSE JEWELL PKWY SE STE 200
GAINESVILLE, GA
ZIP 30501-868
Phone: (770) 534-9014
Fax: (770) 534-9012

The provider's authorized official is Dennis Ray Williams .
The authorized official title is Administrator and has the following contact phone number (770) 534-9014.

The CLIA number assigned to this NPI record is 11D0957452 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2010 and was last updated on 4/18/2011.

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
1174400000XSpecialistYes

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: 3/30/2025

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