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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