Organization
NORTHEAST GEORGIA HEART CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM H. BEYER (CEO)
(770) 534-2020
Entity
Organization
Contact information
Practice address
200 S ENOTA DR NE, SUITE 200, GAINESVILLE, GA 30501-3466
(770) 534-2020
(770) 534-8025
Mailing address
200 S ENOTA DR NE, SUITE 200, GAINESVILLE, GA 30501-3466
(770) 534-2020
(770) 534-8025
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP3704
MEDICARE PTAN
GA
Enumeration date
05/25/2006
Last updated
09/27/2013
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