Organization
SOUTH GEORGIA HEART AND VASCULAR ASSOCIATES, LLC
Active
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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