Organization
CARDIOLOGY CARE OF SC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LAM MD (OWNER)
(843) 932-6875
Entity
Organization
Contact information
Practice address
109 BURTON AVE, SUITE E, SUMMERVILLE, SC 29485-8117
(843) 832-6875
(843) 832-6878
Mailing address
109 BURTON AVE, SUITE E, SUMMERVILLE, SC 29485-8117
(843) 832-6875
(843) 832-6878
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
11269
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112693
—
SC
05
—
GP4326
—
SC
Enumeration date
07/09/2006
Last updated
10/17/2007
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