Organization · Type 2 NPI

Providence Cardiology LLC

Cardiovascular Disease Physician · West Columbia, SC

NPI number 1083995641 Active

Practice location

3103 Sunset Blvd
West Columbia, SC 29169-4817

Fax (803) 739-1485

Mailing address

2001 Laurel St
Columbia, SC 29204-1018

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1083995641

Providence Cardiology LLC's National Provider Identifier is 1083995641, issued on Sep 8, 2011. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in West Columbia, SC. The record was last updated on Jun 8, 2012.