Provider Demographics
NPI:1548759178
Name:GEORGIA ARRHYTHMIA CONSULTANTS AND RESEARCH INSTITUTE
Entity Type:Organization
Organization Name:GEORGIA ARRHYTHMIA CONSULTANTS AND RESEARCH INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:SOGADE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:478-755-1560
Mailing Address - Street 1:639 HEMLOCK ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-6889
Mailing Address - Country:US
Mailing Address - Phone:478-755-1560
Mailing Address - Fax:
Practice Address - Street 1:639 HEMLOCK ST STE 100
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-6889
Practice Address - Country:US
Practice Address - Phone:478-755-1560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-09
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000072673KMedicaid