Organization · Type 2 NPI

Providence Group Practices Ii, LLC

Cardiovascular Disease Physician · Camden, SC

NPI number 1184133258 Active

Practice location

1330 Haile St
Camden, SC 29020-3002

Fax (803) 424-1900

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
Cardiovascular Disease Physician Primary 207RC0000XNone listed
Clinical Cardiac Electrophysiology Physician 207RC0001XNone listed
Interventional Cardiology Physician 207RI0011XNone listed
Nurse Practitioner 363L00000XNone 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.

7 other providers at this address

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About NPI 1184133258

Providence Group Practices Ii, LLC's National Provider Identifier is 1184133258, issued on Sep 21, 2017. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Camden, SC. The record was last updated on Sep 25, 2017.