Organization
SOUTHEASTERN CARDIOVASCULAR IMG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID H PAINE MD (MD)
(912) 537-9826
Entity
Organization
Contact information
Practice address
1006A MOUNT VERNON RD, VIDALIA, GA 30474-3029
(912) 537-9826
(912) 537-2182
Mailing address
1006A MOUNT VERNON RD, VIDALIA, GA 30474-3029
(912) 537-9826
(912) 537-2182
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
028618
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000327346D
—
GA
Enumeration date
06/25/2007
Last updated
01/05/2010
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