Organization
SOUTH CAROLINA HEART CENTER P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KOENIG (CHIEF FINANCIAL OFFICER)
(803) 254-3278
Entity
Organization
Contact information
Practice address
1 WELLNESS BLVD, IRMO, SC 29063-2871
(803) 749-1360
(803) 749-5428
Mailing address
PO BOX 99, COLUMBIA, SC 29202-0099
(803) 254-3278
(803) 376-8010
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC 3787
—
SC
Enumeration date
06/26/2008
Last updated
06/26/2008
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