PROVIDENCE CARDIOVASCULAR & THORACIC SURGERY LLC NPI 1811289382

NPI Information

PROVIDENCE CARDIOVASCULAR & THORACIC SURGERY, LLC is a specialist in Columbia, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PROVIDENCE CARDIOVASCULAR & THORACIC SURGERY, LLC NPI is 1811289382. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2435 FOREST DR
COLUMBIA, SC
ZIP 29204-026
Phone: (803) 254-5140
Fax: (803) 779-1279

The provider's authorized official is John P Sutton, Iii .
The authorized official title is President and has the following contact phone number (803) 254-5140.

The enumeration date for this NPI number is 5/3/2011 and was last updated on 5/4/2011.

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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