Organization
CCA INTERMEDIATE HOLDINGS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNELL HOFFMAN (ADMINISTRATOR)
(803) 324-5135
Entity
Organization
Contact information
Practice address
196 CARDIOLOGY DR, ROCK HILL, SC 29732-1174
(803) 324-5135
(803) 324-5269
Mailing address
196 CARDIOLOGY DR, ROCK HILL, SC 29732-1174
(803) 324-5135
(803) 324-5269
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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