Organization
COLUMBIA CARDIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY B BROWN (BUS. OFFICE SUPERVISOR)
(803) 744-2612
Entity
Organization
Contact information
Practice address
131 SUNSET COURT, WEST COLUMBIA, SC 29169-3405
(803) 744-4900
(803) 499-2621
Mailing address
PO BOX 4187, COLUMBIA, SC 29240-4187
(803) 744-4900
(803) 744-2621
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3493
—
SC
Enumeration date
06/14/2007
Last updated
11/01/2011
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