Healthcare Provider Details

I. General information

NPI: 1548759178
Provider Name (Legal Business Name): GEORGIA ARRHYTHMIA CONSULTANTS AND RESEARCH INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2018
Last Update Date: 05/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

639 HEMLOCK ST STE 100
MACON GA
31201-6889
US

IV. Provider business mailing address

639 HEMLOCK ST STE 100
MACON GA
31201-6889
US

V. Phone/Fax

Practice location:
  • Phone: 478-755-1560
  • Fax:
Mailing address:
  • Phone: 478-755-1560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: FELIX SOGADE
Title or Position: CEO
Credential: MD
Phone: 478-755-1560