Organization
PROVIDENCE CARDIOLOGY LLC
Active
Organization
PROVIDENCE CARDIOLOGY LLC
Active
Other names
Providence Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN L KOENIG (CHIEF FINANCIAL OFFICER)
(803) 254-3278
Entity
Organization
Contact information
Practice address
3103 SUNSET BLVD, WEST COLUMBIA, SC 29169-4817
(803) 794-3950
(803) 739-1485
Mailing address
2001 LAUREL ST, COLUMBIA, SC 29204-1018
(803) 254-3278
(803) 376-8010
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5822
—
SC
Enumeration date
09/08/2011
Last updated
06/08/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up