Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeastern Cardiology

Organization Cardiovascular Disease Physician · NPI 1396944633

Southeastern Cardiology is a Cardiovascular Disease Physician in Vidalia, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

1811 Edwina Dr
Vidalia, GA 30474-8963
Phone: (912) 537-8988
Fax: (912) 608-8037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 53388 (GA)

Record details

NPI number1396944633
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deborah Elliott-Smith — Practice Manager · (912) 537-8988
NPI enumeratedJuly 17, 2007
Last updated in NPPESJuly 17, 2007
Mailing address1811 Edwina Dr, Vidalia, GA 30474-8963

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