Organization
THORACIC & CARDIOVASCULAR ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P SUTTON MD (PRESIDENT)
(803) 254-5140
Entity
Organization
Contact information
Practice address
2750 LAUREL ST, SUITE 305, COLUMBIA, SC 29204-2038
(803) 254-5140
(803) 779-1279
Mailing address
2750 LAUREL ST, SUITE 305, COLUMBIA, SC 29204-2038
(803) 254-5140
(803) 779-1279
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B4461
RAILROAD MEDICARE
SC
05
—
PA1293
—
SC
Enumeration date
03/21/2006
Last updated
01/02/2015
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