# GEORGIA CARDIOLOGY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Georgia Cardiology Center - WR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578865077
- **Authorized official:** MIRZA W AHMED MD (OWNER)
- **Authorized official phone:** (478) 741-6400

## Contact information

- **Practice address:** 124 HOSPITAL DR, WARNER ROBINS, GA 31088-4204
- **Practice address phone:** (478) 922-4626
- **Practice address fax:** (478) 923-7769
- **Mailing address:** PO BOX 4687, MACON, GA 31208-4687
- **Mailing address phone:** (478) 922-4626
- **Mailing address fax:** (478) 923-7769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | GA | Yes |

## Other

- **Enumeration date:** 12/03/2010
- **Last updated:** 12/03/2010