Alexander T Gedevanishvili, MD - Lagrange, GA

Alexander T Gedevanishvili, MD

Cardiovascular Disease Physician in Lagrange, Georgia

NPI 1578558714

Alexander T Gedevanishvili is a Cardiovascular Disease Physician based in Marietta, GA and is specialized in Cardiovascular Disease. Alexander T Gedevanishvili practices in Lagrange, GA and has the professional credentials of MD. The NPI Number for Alexander T Gedevanishvili is 1578558714 and holds a License No. 054099 (Georgia).

The current practice location address for Alexander T Gedevanishvili is 1602 Vernon Rd Ste 300, Lagrange, GA and can be reached out via phone at 706-242-5100 and via fax at 706-812-2454.

Location: 1602 Vernon Rd Ste 300, Lagrange, GA, 30066-6340

NPI Number

1578558714

Provider Name

Alexander T Gedevanishvili

Credential

Provider Entity Type

Individual

Gender

Male

Address

1602 Vernon Rd Ste 300, Lagrange, GA, 30066-6340

Phone Number

706-242-5100

Fax Number

706-812-2454

Provider Enumeration Date

09/14/2005

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
192405896A	05	GA

Address

1602 Vernon Rd Ste 300

City

Lagrange

State

Georgia

Zip

30240

Phone Number

706-242-5100

Fax Number

706-812-2454

Address

1602 Vernon Rd Ste 300

City

Lagrange

State

Georgia

Zip

30240

Phone Number

706-242-5100

Fax Number

706-812-2454

Type

Allopathic & Osteopathic Physicians

Classification

Internal Medicine

Speciality

Cardiovascular Disease

Taxonomy

207RC0000X

License No.

054099 (Georgia)

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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