PROVIDENCE PHYSICIAN PRACTICES LLC NPI 1770943631

NPI Information

PROVIDENCE PHYSICIAN PRACTICES LLC is a cardiovascular disease internal medicine in Columbia, 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. PROVIDENCE PHYSICIAN PRACTICES LLC NPI is 1770943631. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Carolina Cardiovascular Associates.

The provider's business location address is:

114 GATEWAY CORPORATE BLVD
STE 425
COLUMBIA, SC
ZIP 29203-740
Phone: (803) 865-4780

The provider's authorized official is Jess N Judy .
The authorized official title is President and has the following contact phone number (615) 920-7000.

The enumeration date for this NPI number is 3/4/2016 and was last updated on 2/22/2017.

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:

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