Organization
CARDIOVASCULAR ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LEROY WELLS JR. MD (PRESIDENT)
(803) 534-3092
Entity
Organization
Contact information
Practice address
1595 CAROLINA AVE, ORANGEBURG, SC 29115-4940
(803) 534-3092
(803) 531-4698
Mailing address
1595 CAROLINA AVE, ORANGEBURG, SC 29115-4940
(803) 534-3092
(803) 531-4698
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
05/22/2007
Last updated
11/25/2007
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