South Georgia Cardiology in Valdosta - Specialist
South Georgia Cardiology - NPI 1457377731
South Georgia Cardiology is a Specialist in Valdosta, Georgia. South Georgia Cardiology practices all healthcare services and medical treatments related to Specialist. The NPI Number for South Georgia Cardiology is 1457377731. The last update date is 2022-07-21.
South Georgia Cardiology's current location address is 2301 N Ashley St, Valdosta, Georgia. You can contact this provider via phone number 2292451000 and fax number 2292422788. The mailing address for South Georgia Cardiology is 2301 N Ashley St, Valdosta, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | South Georgia Cardiology |
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Address | 2301 N Ashley St, Valdosta, Georgia |
Phone Number | 2292451000 |
Fax Number | 2292422788 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESEDENT |
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Authorized Official Name | Tri Bruce Terry |
Credentials | M.D |
Telephone Number | 2292451000 |
NPI Number Detail
NPI Number | 1457377731 |
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Provider Enumeration Date | 2006-07-13 |
Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
Address | 2301 N Ashley St |
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City | Valdosta |
State | Georgia (GA) |
Post Code | 316022620 |
Phone Number | 2292451000 |
Fax Number | 2292422788 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
---|---|
Taxonomy | 174400000X |
Licence No | 38991 |
Definition: 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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
00972353A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to South Georgia Cardiology by the Centers for Medicare & Medicaid Services?
The South Georgia Cardiology has been issued the NPI (National Provider Identifier) 1457377731 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where South Georgia Cardiology is physically located?
The South Georgia Cardiology is physically situated at the following address: 2301 N Ashley St, Valdosta, GA, 316022620.
What is South Georgia Cardiology's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for South Georgia Cardiology is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457377731 to South Georgia Cardiology?
The Centers for Medicare & Medicaid Services originally issued the 1457377731 to South Georgia Cardiology on 2006-07-13.
When was the information related to South Georgia Cardiology most recently updated or refreshed?
The details pertaining to the South Georgia Cardiology, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.