Alexander T Gedevanishvili, M.D.

NPI #1578558714 in Lagrange, Georgia

Provider Information

NPI Number
1578558714
Entity Type
Individual
Name
Alexander T Gedevanishvili, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine - Cardiovascular Disease
Credential
M.D.
Enumeration Date
Sep 14, 2005
Last Updated
Nov 5, 2019

Practice Location

Address
1602 VERNON RD STE 300
State
Georgia
ZIP Code
30240
Phone
(706) 242-5100

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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