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SMITH CENTER FOR CARDIOVASCULAR WELLNESS P.A. NPI 1093033847


NPI Information

NPI: 1093033847
Provider Name: SMITH CENTER FOR CARDIOVASCULAR WELLNESS, P.A.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
45 CREEKVIEW CT
GREENVILLE, SC
ZIP 29615
Phone: (864) 234-7474
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SMITH CENTER FOR CARDIOVASCULAR WELLNESS, P.A. is a cardiovascular disease internal medicine in Greenville, SC. The provider is 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. SMITH CENTER FOR CARDIOVASCULAR WELLNESS, P.A. NPI is 1093033847. The provider is registered as an organization entity type.

The provider's business location address is:

45 CREEKVIEW CT
GREENVILLE, SC
ZIP 29615-800
Phone: (864) 234-7474
Fax: (864) 234-0778

The provider's authorized official is Desmond Ernesto Smith .
The authorized official title is Owner/operator and has the following contact phone number (864) 552-0275.

The enumeration date for this NPI number is 5/4/2010 and was last updated on 2/1/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies13551SOUTH CAROLINANo
2207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism13551SOUTH CAROLINANo
3207RG0300XInternal MedicineGeriatric Medicine13551SOUTH DAKOTANo
4207RC0000XInternal MedicineCardiovascular Disease13551SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16475120001MEDICARE NSCSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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