Alexander T Gedevanishvili M.D.

NPI 1578558714 - Specialist - 174400000X

NPI Details
NPI 1578558714
Gender Male
Enumeration Date 09/14/2005
Last Updated 01/11/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
1551 DOCTORS DR
BUILDING 200
LAGRANGE GA, 30240-4139, US
Phone (706) 884-2641
Fax (706) 884-2353
Business Location
1551 DOCTORS DR
BUILDING 200
LAGRANGE GA, 30240-4139, US
Phone (706) 884-2641
Fax (706) 884-2353
Toxanomy
Taxonomy Code 174400000X
License State Georgia
License Number 054099
Remove 1578558714 NPI Number
 

According to our database, Alexander T Gedevanishvili M.D. NPI is 1578558714, taxonomy code is 174400000X and license number is 054099, license state is located at Georgia. Alexander T Gedevanishvili M.D. physically located at 1551 Doctors Dr, Lagrange GA, 30240-4139. NPI Number Alexander T Gedevanishvili M.D. has the Individual type.

Sponsored links

1578558714 NPI number is provided on an as is basis without warranty of any kind. 1578558714 is maintained by the National Plan & Provider Enumeration System. The contents of Alexander T Gedevanishvili M.D. are for informational purposes only.