Organization
COLUMBIA HEART CLINIC, PA
Active
Other names
Columbia Heart Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LORA HAVER (CREDENTIALING COORDINATOR)
(803) 744-8426
Entity
Organization
Contact information
Practice address
8 RICHLAND MEDICAL PARK DRIVE., SUITE 300, COLUMBIA, SC 29203
(803) 744-8426
(803) 744-4731
Mailing address
8 RICHLAND MEDICAL PARK DRIVE., SUITE 300, COLUMBIA, SC 29203
(803) 744-8426
(803) 744-4731
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1908
—
SC
Enumeration date
06/23/2006
Last updated
12/04/2017
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