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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
1 | 207R00000X | Internal Medicine | | 37854 | SOUTH CAROLINA | No |
2 | 207R00000X | Internal Medicine | | MD451312 | PENNSYLVANIA | No |
3 | 207RC0000X | Internal Medicine | Cardiovascular Disease | 37854 | SOUTH CAROLINA | No |
4 | 207RI0011X | Internal Medicine | Interventional Cardiology | 37854 | SOUTH CAROLINA | No |
5 | 207RI0011X | Internal Medicine | Interventional Cardiology | 2025-00531 | NORTH CAROLINA | Yes |
6 | 207RC0200X | Internal Medicine | Critical Care Medicine | 37854 | SOUTH CAROLINA | No |