Organization
CLARENDON CARDIOLOGY AND INTERNAL MEDICINE LLC
Active
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
Update your record
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