Search › Georgia › 207RC0000X
Alexander Gedevanishvili, M.D
NPI 1578558714 · on the registry since 2005
Practice
- Address
- 1602 Vernon Rd Ste 300
Lagrange, GA 30240 - Phone
- (706) 242-5100
- Fax
- (706) 812-2454
- Organisation at this address
- Lagrange Internal Medicine, Pc
Gynecology & Obstetrics Professional Group Of West Georgia PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Additional practice sites
- 1551 Doctors Dr, Lagrange, GA
- 1551 Doctors Dr, Lagrange, GA
Registry record
- Primary taxonomy
- 207RC0000X
207RC0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia