Southeastern Cardiovascular Img, Inc.

NPI #1528264629 in Vidalia, Georgia

Provider Information

NPI Number: 1528264629
Entity Type: Organization
Organization Name: Southeastern Cardiovascular Img, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Jun 25, 2007
Last Updated: Jan 5, 2010

Practice Location

Address: 1006A MOUNT VERNON RD
City: Vidalia
State: Georgia
ZIP Code: 30474-3029
Phone: (912) 537-9826

Authorized Official

Name: DR. DAVID H PAINE, MD
Title: MD
Phone: (912) 537-9826

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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