Organization
PITTSBURGH CARDIAC ELECTROPHYSIOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PUVALAI VIJAKUMAR MD (OWNER)
(412) 418-1740
Entity
Organization
Contact information
Practice address
754 1ST ST, MACON, GA 31201-6884
(478) 259-0089
(478) 259-3421
Mailing address
5009 TUCKER RDG, MACON, GA 31210-2960
(478) 259-0089
(478) 259-3421
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
MD041441E
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
05/23/2022
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