Organization · Type 2 NPI
Lake Marion Primary Care
Cardiovascular Disease Physician · Manning, SC
NPI number
1912964479
Active
Practice location
15 E Hospital St
Manning, SC 29102-3152
Fax (803) 435-4196
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 13275 (SC) |
| Cardiovascular Disease Physician Primary | 207RC0000X | 20345 (SC) |
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.
3 other providers at this address
Other cardiovascular disease physician providers in Manning
About NPI 1912964479
Lake Marion Primary Care's National Provider Identifier is 1912964479, issued on Apr 27, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Manning, SC. The record was last updated on Sep 11, 2025.