# CARDIO-MEDICAL AFFILIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DBA CAROLINA MEDICAL AFFILIATES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841235231
- **Authorized official:** TONI R ROGERS (BUSINESS MANAGER)
- **Authorized official phone:** (864) 585-5433

## Contact information

- **Practice address:** 1330 BOILING SPRINGS RD, SUITE 2500, SPARTANBURG, SC 29303-2244
- **Practice address phone:** (864) 585-5433
- **Practice address fax:** (864) 591-4053
- **Mailing address:** PO BOX 2288, SPARTANBURG, SC 29304-2288
- **Mailing address phone:** (864) 585-5433
- **Mailing address fax:** (864) 591-4053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207KA0200X | Allergy Physician | 19036 | SC | — |
| 207R00000X | Internal Medicine Physician | — | SC | Yes |
| 207RI0011X | Interventional Cardiology Physician | 26760 | SC | — |
| 207RI0011X | Interventional Cardiology Physician | 27614 | SC | — |
| 207RI0011X | Interventional Cardiology Physician | TL27557 | SC | — |
| 207RI0200X | Infectious Disease Physician | 14717 | SC | — |
| 207RR0500X | Rheumatology Physician | 23983 | SC | — |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 11/17/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP0077 | — | SC |