HEART & VASCULAR CARE OF GEORGIA PC NPI 1801138045

NPI Information

NPI: 1801138045
Provider Name: HEART & VASCULAR CARE OF GEORGIA PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
505 JENKINS ST
LAGRANGE, GA
ZIP 30240
Phone: (404) 944-7914
Get Directions

HEART & VASCULAR CARE OF GEORGIA PC is a cardiovascular disease internal medicine in Lagrange, 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. HEART & VASCULAR CARE OF GEORGIA PC NPI is 1801138045. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

505 JENKINS ST
LAGRANGE, GA
ZIP 30240-225
Phone: (404) 944-7914

The provider's authorized official is Lakshmi Mandavilli .
The authorized official title is Billing Manager and has the following contact phone number (404) 944-7914.

The enumeration date for this NPI number is 3/26/2013 and was last updated on 6/25/2013.

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		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	Other Provider Identifier Issuer
1	202I062132	MEDICARE PIN	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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