Organization
PENN HEART LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WEEMS R PENNINGTON JR. MD (PRESIDENT/OWNER)
(706) 210-9990
Entity
Organization
Contact information
Practice address
820 SAINT SEBASTIAN WAY, STE 2B, AUGUSTA, GA 30901-2643
(706) 722-6612
(706) 722-5057
Mailing address
820 SAINT SEBASTIAN WAY, STE 2B, AUGUSTA, GA 30901-2643
(706) 722-6612
(706) 722-5057
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/29/2016
Last updated
05/29/2016
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