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CAMDEN GENERAL AND VASCULAR SURGERY NPI 1912912130


NPI Information

NPI: 1912912130
Provider Name: CAMDEN GENERAL AND VASCULAR SURGERY
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1001 FAIRLAWN DR
CAMDEN, SC
ZIP 29020
Phone: (803) 432-8989
Get Directions

CAMDEN GENERAL AND VASCULAR SURGERY is a cardiovascular disease internal medicine in Camden, 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. CAMDEN GENERAL AND VASCULAR SURGERY NPI is 1912912130. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1001 FAIRLAWN DR
CAMDEN, SC
ZIP 29020-525
Phone: (803) 432-8989

The provider's authorized official is Sharon Austin Knight .
The authorized official title is Office Manager and has the following contact phone number (803) 432-8989.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 12/14/2012.


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
1207RC0000XInternal MedicineCardiovascular Disease16224SOUTH 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
1C706228323MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINA
2GP4285MEDICAIDSOUTH CAROLINA
3TL9141MEDICAIDSOUTH CAROLINA
4C70622MEDICARE UPINSOUTH 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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