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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