Organization
CARDIOVASCULAR ANSTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F WILLIAMS (PRESIDENT)
(803) 256-0447
Entity
Organization
Contact information
Practice address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(803) 765-1838
(803) 765-1732
Mailing address
PO BOX 25448, COLUMBIA, SC 29224-5448
(803) 765-1838
(803) 765-1732
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3236
—
SC
Enumeration date
01/30/2006
Last updated
10/04/2007
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