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PROVIDENCE CARDIOLOGY LLC NPI 1235410887


NPI Information

NPI: 1235410887
Provider Name: PROVIDENCE CARDIOLOGY LLC

Doing Business As: SOUTH CAROLINA HEART CENTER

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 42D2218309

Address:
904 S 4TH ST STE B
HARTSVILLE, SC
ZIP 29550
Phone: (843) 332-6433
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PROVIDENCE CARDIOLOGY LLC is a cardiovascular disease internal medicine in Hartsville, 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 CARDIOLOGY LLC NPI is 1235410887. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As South Carolina Heart Center.

The provider's business location address is:

904 S 4TH ST STE B
HARTSVILLE, SC
ZIP 29550-704
Phone: (843) 332-6433
Fax: (803) 376-2870

The provider's authorized official is Kathleen L Koenig .
The authorized official title is Chief Financial Officer and has the following contact phone number (803) 254-3278.

The CLIA number assigned to this NPI record is 42D2218309 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2011 and was last updated on 1/19/2016.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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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