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

Southeastern Cardiovascular Img, Inc

Organization Internal Medicine Physician · NPI 1528264629

Southeastern Cardiovascular Img, Inc is an Internal Medicine Physician in Vidalia, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1006A Mount Vernon Rd
Vidalia, GA 30474-3029
Phone: (912) 537-9826
Fax: (912) 537-2182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 028618 (GA)

Record details

NPI number1528264629
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Paine — Md · (912) 537-9826
NPI enumeratedJune 25, 2007
Last updated in NPPESJanuary 5, 2010
Mailing address1006a Mount Vernon Rd, Vidalia, GA 30474-3029

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