Organization
COLUMBIA CARDIOLOGY
Active
Parent organization
COLUMBIA CARDIOLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLUMBIA CARDIOLOGY
Authorized official
TRACY BUTLER BROWN (BUSINESS OFFICE MANAGER)
(803) 744-2612
Entity
Organization
Contact information
Practice address
114 GATEWAY BLVD, COLUMBIA, SC 29209-0000
(803) 744-4900
(803) 744-2622
Mailing address
PO BOX 4187, COLUMBIA, SC 29240-4187
(803) 744-4900
(803) 744-2622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3493
—
SC
Enumeration date
07/08/2008
Last updated
07/08/2008
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