Organization
GEORGIA CARDIOLOGY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRZA W AHMED M.D. (OWNER)
(478) 741-6400
Entity
Organization
Contact information
Practice address
180 EMERY HWY, MACON, GA 31217-3656
(478) 741-6400
(478) 741-7659
Mailing address
PO BOX O, MACON, GA 31202-1507
(478) 741-6400
(478) 741-7659
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
07/13/2006
Last updated
12/03/2010
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