person
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. You can also correspond with Alexander T Gedevanishvili through the mailing address at 805 SANDY PLAINS ROAD, MARIETTA, GA - 30066-6340 (mailing address contact number: ).

Location: 1602 Vernon Rd Ste 300, Lagrange, GA, 30066-6340
person
Provider Profile Details
NPI Number
1578558714
Provider Name
Alexander T Gedevanishvili
Credential
MD
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
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Provider's Legacy Identifiers
Identifier Type State Issuer
192405896A 05 GA
institution
Provider Business Practice Location Address Details
Address
1602 Vernon Rd Ste 300
City
State
Zip
30240
Phone Number
706-242-5100
Fax Number
706-812-2454
person
Provider Business Mailing Address Details
Address
1602 Vernon Rd Ste 300
City
State
Zip
30240
Phone Number
706-242-5100
Fax Number
706-812-2454
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
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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