Organization
SOUTH ATLANTA HEART AND VASCULAR CLINIC LLC
Active
Organization
SOUTH ATLANTA HEART AND VASCULAR CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIJESH PATEL (MANAGER)
(678) 850-6490
Entity
Organization
Contact information
Practice address
23 OLD ATLANTA HWY, STE 110, NEWNAN, GA 30263-6341
(678) 850-6490
Mailing address
23 OLD ATLANTA HWY STE 110, NEWNAN, GA 30263-6341
(678) 850-6490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
GA
207RC0000X
Cardiovascular Disease Physician
Primary
—
GA
Other
Enumeration date
03/26/2013
Last updated
06/25/2013
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