Healthcare Provider Details

I. General information

NPI: 1508143835
Provider Name (Legal Business Name): COMPREHENSIVE CARDIAC CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2011
Last Update Date: 11/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1654 WATSON BLVD
WARNER ROBINS GA
31093-3439
US

IV. Provider business mailing address

PO BOX 14485
MACON GA
31203-4485
US

V. Phone/Fax

Practice location:
  • Phone: 478-737-9555
  • Fax:
Mailing address:
  • Phone: 478-737-9555
  • Fax: 478-742-5048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GOHAR SAEED
Title or Position: PARTNER
Credential: M.D
Phone: 478-737-9555