David Kavtaradze Md Inc
LBN: David Kavtaradze Md Inc
David Kavtaradze Md Inc is an health care organization with primary practice located at 902 N 7Th St # 100 , Cordele GA 31015-3234. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
David Kavtaradze Md Inc can be contacted via phone (229) 276-2286, or through Kavtaradze, David via phone (229) 271-4608.
Contact Information
Primary practice address
902 N 7Th St # 100
Cordele GA 31015-3234
Phone: (229) 276-2286
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 051148 | Georgia |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 051148 | Georgia |
Profile Details
NPI number | 1386959179 |
---|---|
LBN Legal business name | David Kavtaradze Md Inc |
DBA Doing business as | |
Authorized official | Kavtaradze, David Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 17th, 2010 |
Last updated | Mar 19th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386959179 | NPPES |
Georgia | MEDICAID | 000976214D |
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