Southeast Regional Cardiac And Vascular Institute, Llc

LBN: Southeast Regional Cardiac And Vascular Institute, Llc
Southeast Regional Cardiac And Vascular Institute, Llc is an health care organization with primary practice located at 101 Harris Industrial Blvd Suite A, Vidalia GA 30474-8852. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as the primary health care specialty. Southeast Regional Cardiac And Vascular Institute, Llc can be contacted via phone (912) 535-3500, or through Osteen, Tony M via phone (912) 537-5314.

Contact Information

Primary practice address
101 Harris Industrial Blvd Suite A Vidalia GA 30474-8852
Fax: (912) 535-4498
Website:
Authorized official contact:
Name: Osteen, Tony M

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 65260 Georgia

Profile Details

NPI number 1740503440
LBN Legal business name Southeast Regional Cardiac And Vascular Institute, Llc
DBA Doing business as
Authorized official Osteen, Tony M
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 9th, 2010
Last updated Nov 4th, 2020 - about 4 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 1740503440 NPPES
Georgia MEDICAID 489617065A

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