Organization
GEORGIA INTEGRATIVE CARDIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON SETH REINGOLD MD (OWNER)
(404) 946-8797
Entity
Organization
Contact information
Practice address
5400 LAUREL SPRINGS PKWY STE 1401, JOHNS CREEK, GA 30024-6098
(678) 208-0165
Mailing address
3943 DAHLWINY COURT, SANDY SPRINGS, GA 30350
(404) 946-8797
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64255
GEORGIA LICENSE
GA
Enumeration date
02/23/2023
Last updated
02/24/2023
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