Organization
PROVIDENCE GROUP PRACTICES LLC
Active
Other names
SOUTH CAROLINA HEART CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JESS JUDY (PRESIDENT)
(615) 920-7000
Entity
Organization
Contact information
Practice address
2001 LAUREL ST, COLUMBIA, SC 29204-1018
(803) 254-3278
Mailing address
2001 LAUREL ST, COLUMBIA, SC 29204-1018
(803) 254-3278
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Enumeration date
02/05/2016
Last updated
02/22/2017
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