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NPI Code Detail

MEDICARE: HEART OF GEORGIA CARDIOLOGY LLC

MEDICARE: HEART OF GEORGIA CARDIOLOGY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1194879866
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEART OF GEORGIA CARDIOLOGY LLC
Provider Business Mailing Address
First Line : 2064 VINEVILLE AVE
Second Line :
City : MACON
State : GA
Zip : 31204-3140
Country : US
Telephone Number : 478-745-5035
Fax Number : 478-746-8536
Provider Business Practice Location Address
First Line : 2064 VINEVILLE AVE
Second Line :
City : MACON
State : GA
Zip : 31204-3140
Country : US
Telephone Number : 478-745-5035
Fax Number : 478-746-8536
Authorized Official
Title or Position : MANAGING PARTNER
Name : DR. MARIA H BARTLETT
Credential : M.D.
Telephone Number : 478-745-5035
Provider Enumeration Date : 01/22/2007
Last Update Date : 07/15/2008

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Directions to “HEART OF GEORGIA CARDIOLOGY LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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