Organization
SOUTH CAROLINA HEART CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY KOENIG (CHIEF FINANCIAL OFFICER)
(803) 254-3278
Entity
Organization
Contact information
Practice address
595 NEWBERRY HWY, SALUDA, SC 29138-7808
(864) 445-9939
(864) 445-3956
Mailing address
PO BOX 99, COLUMBIA, SC 29202-0099
(803) 254-3278
(803) 255-2715
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC3787
—
SC
Enumeration date
05/22/2009
Last updated
05/22/2009
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