# COLUMBIA CARDIOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COLUMBIA CARDIOLOGY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750544912
- **Legal business name:** COLUMBIA CARDIOLOGY
- **Authorized official:** TRACY BUTLER BROWN (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (803) 744-2612

## Contact information

- **Practice address:** 114 GATEWAY BLVD, COLUMBIA, SC 29209-0000
- **Practice address phone:** (803) 744-4900
- **Practice address fax:** (803) 744-2622
- **Mailing address:** PO BOX 4187, COLUMBIA, SC 29240-4187
- **Mailing address phone:** (803) 744-4900
- **Mailing address fax:** (803) 744-2622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2008
- **Last updated:** 07/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP3493 | — | SC |