Organization
SOUTH CAROLINA HEART CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KOENIG (CHIEF FINANCIAL OFFICER)
(803) 254-3278
Entity
Organization
Contact information
Practice address
2001 LAUREL ST, COLUMBIA, SC 29204-1018
(803) 255-2662
(803) 255-2715
Mailing address
PO BOX 99, COLUMBIA, SC 29202-0099
(803) 255-2662
(803) 255-2715
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC3787
—
SC
Enumeration date
05/18/2006
Last updated
10/10/2007
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