Organization
TRIDENT CARDIOLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A COKER M.D. (PRESIDENT)
(843) 285-2500
Entity
Organization
Contact information
Practice address
3601 LADSON RD, SUITE 100, LADSON, SC 29456-4304
(843) 285-2500
(843) 285-2505
Mailing address
3601 LADSON RD, SUITE 100, LADSON, SC 29456-4304
(843) 285-2500
(843) 285-2505
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG1965
RAILROAD MEDICARE
SC
05
—
GP2635
—
SC
Enumeration date
05/09/2006
Last updated
10/09/2007
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