Organization
SOUTHERN HEART SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD FREIREICH M.D. (PRESIDENT)
(770) 991-2100
Entity
Organization
Contact information
Practice address
6507 PROFESSIONAL PL, RIVERDALE, GA 30274-4941
(770) 991-2100
(770) 991-1180
Mailing address
6507 PROFESSIONAL PL, RIVERDALE, GA 30274-4941
(770) 991-2100
(770) 991-1180
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085000570G
—
GA
01
—
GRP1614
MEDICARE ID
GA
Enumeration date
05/08/2006
Last updated
04/03/2012
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