Organization
COLUMBIA CARDIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY B BROWN (BUSINESS OFFICE SUPERVISOR)
(803) 744-2612
Entity
Organization
Contact information
Practice address
130 CORPORATE BLVD, COLUMBIA, SC 29204
(803) 744-4900
(803) 744-2622
Mailing address
2601 LAUREL ST, 260, COLUMBIA, SC 29204
(803) 744-4900
(803) 744-2622
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3493
—
SC
Enumeration date
04/01/2009
Last updated
04/01/2009
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