Organization
CAROLINA CARDIOVASCULAR ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M AMORY D.O. (PRESIDENT)
(803) 356-0949
Entity
Organization
Contact information
Practice address
108 PALMETTO PARK BLVD, STE D, LEXINGTON, SC 29072-7968
(803) 356-0949
(803) 356-1795
Mailing address
108 PALMETTO PARK BLVD, STE D, LEXINGTON, SC 29072-7968
(803) 356-0949
(803) 356-1795
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF4147
RR MEDICARE
SC
05
—
GP2564
—
SC
Enumeration date
05/16/2006
Last updated
10/30/2007
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