Cardiology Associates of Vidalia, P.C.
Organization Active NPI Interventional Cardiology Physician · Vidalia, GA
NPI 1356530901 · NPPES record last updated Apr 20, 2015
Key facts
- NPI
- 1356530901
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 025159 (GA)
- Legal business name
- CARDIOLOGY ASSOCIATES OF VIDALIA, P.C.
- Practice address
- 1006 Mount Vernon Rd
Vidalia, GA 30474-3029 - Phone
- (912) 537-1221
- Fax
- (912) 537-1012
- NPI assigned
- Oct 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Elaine Giles
- Title
- Office Manager
- Phone
- (912) 537-1221
Practitioners 3
-
Jeanie L Allen, NURSE PRACTIONER
-
Paul Joseph Giles, M.D.
-
David Hansell Paine, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician |
207RI0011X | 025159 | GA | Yes |
Addresses
Primary practice location
1006 Mount Vernon Rd
Vidalia, GA 30474-3029
Mailing address
1006 Mount Vernon Rd
Vidalia, GA 30474-3029
Phone (912) 537-1221
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000348169R | Medicaid | GA | |
| 252783403 | Other | GA | TRICARE |
| 060062628 | Other | GA | RAILROAD MEDICARE |
| 1104827369 | Other | GA | NPI - INDIVIDUAL |
Other providers in Vidalia, GA
- Buysmart RX-HME Inc
- Patrick J. Byrne
- Carolyn Cabe
- Camp Wanna Be
- James William Campbell III
- Dustin J Carter
- Wilton Todd Carter
- Brenna Casey
- Virginia Grace Gourley Cato
- Ann Marie Chalker
All providers in Vidalia, GA · Interventional Cardiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.