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Columbia Cardiology, LLC

Specialist in West Columbia, SC. Organization (NPI-2).

NPI number1124222807
StatusActive
Last updated in NPPESNov 1, 2011

Details

NPI
1124222807
Entity type
Organization (NPI-2)
Legal business name
Columbia Cardiology, LLC
Organization subpart
No
Enumeration date
Jun 14, 2007
Last updated
Nov 1, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes
207RC0000X Internal Medicine, Cardiovascular Disease––

Practice location

131 Sunset Court
West Columbia, SC 29169-3405

Phone 803-744-4900 · Fax 803-499-2621

Mailing address

Po Box 4187
Columbia, SC 29240-4187

Phone 803-744-4900 · Fax 803-744-2621

Authorized official

Tracy B Brown
Bus. Office Supervisor
8037442612

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