Organization
SOUTH CAROLINA HEART CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY KOENIG (CHIEF FINANCIAL OFFICER)
(803) 255-3278
Entity
Organization
Contact information
Practice address
2001 LAUREL ST, COLUMBIA, SC 29204-1018
(803) 254-3278
(803) 376-8010
Mailing address
PO BOX 99, COLUMBIA, SC 29202-0099
(803) 254-3278
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
SC
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
SC
207RI0011X
Interventional Cardiology Physician
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC3787
—
SC
Enumeration date
07/17/2008
Last updated
07/17/2008
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