Organization
CLARENDON CARDIOLOGY AND INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMON SY M.D. (OWNER)
(800) 684-8583
Entity
Organization
Contact information
Practice address
210TH EAST BOYCE ST., MANNING, SC 29102-3441
(803) 435-0509
Mailing address
210TH EAST BOYCE ST., MANNING, SC 29102-3441
(803) 435-0509
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
203452
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457319535
PERSONAL NPI
SC
01
—
1669658357
GROUP NPI
SC
05
—
203452
—
SC
Enumeration date
01/14/2008
Last updated
03/12/2008
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