Prime Healthcare Foundation - Southern Regional, LLC
Prime Healthcare Foundation - Southern Regional, LLC provides Cardiovascular Disease Physician services in Riverdale, Georgia. Licensed in Georgia. Registered with an NPI since 2015.
- Licensed in
- GA
- In the registry since
- 2015
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11 Uppr Riverdale RD SWRiverdale, GA 30274-2615
Phone: (770) 991-8000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Acute Care Hospital (primary) | Taxonomy 282N00000X · Licence 031-442 (GA) |
|---|---|
| Cardiovascular Disease Physician | Taxonomy 207RC0000X |
Record details
| NPI number | 1154795581 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christopher Doan — Managing Associate General Counsel · (310) 259-4706 |
| Other names | Southern Regional Medical Center |
| NPI enumerated | November 23, 2015 |
| Last updated in NPPES | September 14, 2021 |
| Certification date | September 14, 2021 |
| Mailing address | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 |
Other providers in Riverdale
-
Georgia Heart Associates, PC
33 Uppr Riverdale RD SW Ste 118, Riverdale, GA 30274-2626 · (770) 991-9166
-
Dr. Kenneth S Gimbel, MD
6507 Professional Pl, Riverdale, GA 30274-4941 · (770) 991-2100
-
Dr. Kandathil M. Mathew, MD
6507 Professional Pl, Riverdale, GA 30274-4941 · (770) 991-2100
-
Dr. Abiodun G Olatidoye, MD
6507 Professional Pl, Riverdale, GA 30274-4941 · (770) 991-2100
-
Southern Heart Specialists, PC
6507 Professional Pl, Riverdale, GA 30274-4941 · (770) 991-2100
-
Dr. Minnette Williams, MD
6507 Professional Pl, Riverdale, GA 30274-4941 · (770) 991-2100