South Georgia Heart and Vascular Associates, LLC

NPI #1518629427 in Dublin, Georgia

Provider Information

NPI Number: 1518629427
Entity Type: Organization
Organization Name: South Georgia Heart and Vascular Associates, LLC
Primary Specialty: Internal Medicine - Cardiovascular Disease
Enumeration Date: Oct 7, 2021
Last Updated: Oct 7, 2021

Practice Location

Address: 206 HOSPITAL DR STE A
City: Dublin
State: Georgia
ZIP Code: 31021-2560
Phone: (478) 272-3525

Authorized Official

Name: GARY DANIEL, MD
Title: OWNER
Phone: (478) 272-3525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist Cardiovascular - Vascular Specialist — Vascular Specialist	246XC2903X
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X	Primary

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