Organization
SOUTH CAROLINA HEART CENTER PA
Active
Organization
SOUTH CAROLINA HEART CENTER PA
Active
Other names
South Carolina Heart Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY KOENIG (CHIEF FINANCIAL OFFICER)
(803) 254-3278
Entity
Organization
Contact information
Practice address
124 WREN ST, BARNWELL, SC 29812-1527
(803) 259-2718
(803) 259-9691
Mailing address
PO BOX 99, COLUMBIA, SC 29202-0099
(803) 254-3278
(803) 255-2715
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC3787
—
SC
Enumeration date
08/05/2009
Last updated
08/05/2009
Update your record
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