Provider Demographics
NPI:1336432558
Name:PARIS HEART AND VASCULAR CARE, P.A.
Entity Type:Organization
Organization Name:PARIS HEART AND VASCULAR CARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-202-5003
Mailing Address - Street 1:1780 OCONEE SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:STATHAM
Mailing Address - State:GA
Mailing Address - Zip Code:30666-3618
Mailing Address - Country:US
Mailing Address - Phone:770-519-4225
Mailing Address - Fax:
Practice Address - Street 1:2850 LEWIS LN
Practice Address - Street 2:PAVILION 1, SUITE 114
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-9383
Practice Address - Country:US
Practice Address - Phone:770-519-4225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-20
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0404XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Cardiac Facilities