Individual
ALEXANDER T GEDEVANISHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1602 VERNON RD STE 300, LAGRANGE, GA 30240
(706) 242-5100
(706) 812-2454
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
054099
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192405896A
—
GA
Enumeration date
09/14/2005
Last updated
11/05/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us