Organization
CARDIOVASCULAR CARE GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOWAMAGBE AUSTIN OMOIGUI M.D. (PRESIDENT CEO)
(803) 227-3540
Entity
Organization
Contact information
Practice address
114 GATEWAY CORPORATE BLVD, SUITE 410, COLUMBIA, SC 29203
(803) 227-3540
Mailing address
114 GATEWAY CORPORATE BLVD, SUITE 410, COLUMBIA, SC 29203
(803) 227-3540
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2671
—
SC
Enumeration date
07/27/2006
Last updated
09/27/2011
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