Organization
WACCAMAW CARDIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW J. GRESKO MD (OWNER)
(843) 347-8953
Entity
Organization
Contact information
Practice address
2376 CYPRESS CIR, SUITE 102, CONWAY, SC 29526-8964
(843) 347-8953
(843) 347-0226
Mailing address
2376 CYPRESS CIR, SUITE 102, CONWAY, SC 29526-8964
(843) 347-8953
(843) 347-0226
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3178
—
SC
Enumeration date
08/24/2005
Last updated
10/11/2007
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