Organization
GEORGIA HEART & VASCULAR CENTER PC
Active
Other names
Georgia Heart & Vascular Center, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE C PATE (CEO)
(478) 745-5476
Entity
Organization
Contact information
Practice address
360 HOSPITAL DR. BLDG. D., STE. 200, MACON, GA 31217-3874
(478) 745-5476
(478) 314-1596
Mailing address
PO BOX 4128, MACON, GA 31208-4128
(478) 745-5476
(478) 314-1596
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
016394
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4887
MEDICARE GROUP
GA
Enumeration date
06/01/2005
Last updated
08/23/2010
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