Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXANDER T GEDEVANISHVILI, M.D.
ActiveALEXANDER T GEDEVANISHVILI, M.D. is a Cardiovascular Disease healthcare provider located in LAGRANGE, Georgia. NPI 1578558714 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · LAGRANGE, GA
Registration Details
- NPI Number
- 1578558714
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2005 (20.946905321806 yrs)
- Last Updated
- Nov 5, 2019
- License
-
054099 (GA)
Practice Information
- Address
-
1602 VERNON RD STE 300LAGRANGE, GA, 30240Browse GA providers · Browse ZIP 30240
- Phone
- 7062425100
- Fax
- 7068122454
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
Other Cardiovascular Disease Providers in LAGRANGE, GA
| Name | Credential | NPI |
|---|---|---|
| THOMAS B GORE | M.D. | 1639164874 |
| JAMES A BRENNAN | M.D. | 1912949173 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.