South Georgia Cardiology

LBN: South Georgia Cardiology
South Georgia Cardiology is an health care organization with primary practice located at 2301 N Ashley St , Valdosta GA 31602-2620. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. South Georgia Cardiology can be contacted via phone (229) 245-1000, or through Tri, Terry Bruce via phone (229) 245-1000.

Contact Information

Primary practice address
2301 N Ashley St Valdosta GA 31602-2620
Phone: (229) 245-1000
Fax: (229) 242-2788
Website:
Map and Directions
Authorized official contact:
Name: Tri, Terry Bruce Doctor of Medicine (MD)
Phone: (229) 245-1000

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 038991 Georgia

Profile Details

NPI number 1457377731
LBN Legal business name South Georgia Cardiology
DBA Doing business as
Authorized official Tri, Terry Bruce Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457377731 NPPES
Georgia MEDICAID 00972353A

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