Organization
CARDIO-MEDICAL AFFILIATES
Active
Other names
DBA CAROLINA MEDICAL AFFILIATES
Organization subpart
No
Provider details
NPI number
Authorized official
TONI R ROGERS (BUSINESS MANAGER)
(864) 585-5433
Entity
Organization
Contact information
Practice address
1330 BOILING SPRINGS RD, SUITE 2500, SPARTANBURG, SC 29303-2244
(864) 585-5433
(864) 591-4053
Mailing address
PO BOX 2288, SPARTANBURG, SC 29304-2288
(864) 585-5433
(864) 591-4053
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
19036
SC
207R00000X
Internal Medicine Physician
Primary
—
SC
207RI0011X
Interventional Cardiology Physician
26760
SC
207RI0011X
Interventional Cardiology Physician
27614
SC
207RI0011X
Interventional Cardiology Physician
TL27557
SC
207RI0200X
Infectious Disease Physician
14717
SC
207RR0500X
Rheumatology Physician
23983
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0077
—
SC
Enumeration date
06/18/2006
Last updated
11/17/2010
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