Organization
GEORGIA HEART SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRIDGET HUMMEL MD (OFFICE MANAGER)
(770) 786-0077
Entity
Organization
Contact information
Practice address
4140 TATE ST NE, COVINGTON, GA 30014-2562
(770) 786-0077
(770) 786-8750
Mailing address
4140 TATE ST NE, COVINGTON, GA 30014-2562
(770) 786-0077
(770) 786-8750
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00408614F
—
GA
Enumeration date
09/30/2005
Last updated
03/26/2015
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