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Organization
CATAWBA PIEDMONT CARDIOTHORACIC SURGERY LLC
Active
Organization
CATAWBA PIEDMONT CARDIOTHORACIC SURGERY LLC
Active
Other names
CATAWBA Cardiothoracic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HOLLAND (PRESIDENT)
(469) 893-2030
Entity
Organization
Contact information
Practice address
200 SOUTH HERLONG AVE, SUITE E1, ROCK HILL, SC 29732-1587
(803) 324-1950
(803) 324-1933
Mailing address
PO BOX 741335, ATLANTA, GA 30384-1335
(803) 324-1950
(803) 324-1933
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF1815
RAILROAD MEDICARE
—
05
—
GP4378
—
SC
Enumeration date
05/10/2006
Last updated
09/17/2010
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