Organization
SOUTH GEORGIA HEART AND VASCULAR ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DANIEL MD (OWNER)
(478) 272-3525
Entity
Organization
Contact information
Practice address
206 HOSPITAL DR STE A, DUBLIN, GA 31021-2560
(478) 272-3525
(478) 272-3589
Mailing address
206 HOSPITAL DR STE A, DUBLIN, GA 31021-2560
(478) 272-3525
(478) 272-3589
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
246XC2903X
Vascular Specialist/Technologist Cardiovascular
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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