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NPI Code Detail

MEDICARE: SOUTH CAROLINA HEART CENTER

MEDICARE: SOUTH CAROLINA HEART CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760435051
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH CAROLINA HEART CENTER
Provider Business Mailing Address
First Line : PO BOX 99
Second Line :
City : COLUMBIA
State : SC
Zip : 29202-0099
Country : US
Telephone Number : 803-255-2662
Fax Number : 803-255-2715
Provider Business Practice Location Address
First Line : 2001 LAUREL ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-1018
Country : US
Telephone Number : 803-255-2662
Fax Number : 803-255-2715
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : KATHLEEN KOENIG
Credential :
Telephone Number : 803-254-3278
Provider Enumeration Date : 05/18/2006
Last Update Date : 10/10/2007

Similar Medicare Providers

1326999582 — MEGHAN BRANTLEY BLANCHETTE FNP-C
Practice Location Address:
2001 LAUREL ST
COLUMBIA, SC
29204-1018
Practice Phone: 843-792-9200
Practice Fax:
1053376988 — BARRETT C SHILO PA
Practice Location Address:
2001 LAUREL ST
COLUMBIA, SC
29204-1018
Practice Phone: 803-254-3278
Practice Fax: 803-255-2715
1750329108 — VENKATESHWAR K GOTTIPATY MD, PHD
Practice Location Address:
2001 LAUREL ST
COLUMBIA, SC
29204-1018
Practice Phone: 803-254-3278
Practice Fax: 803-929-3256
1780625269 — MICHAEL C FOSTER MD
Practice Location Address:
2001 LAUREL ST
COLUMBIA, SC
29204-1018
Practice Phone: 803-254-3278
Practice Fax: 803-929-3256
1588606263 — NORMA M KHOURY MD
Practice Location Address:
2001 LAUREL ST
COLUMBIA, SC
29204-1018
Practice Phone: 803-254-3278
Practice Fax: 803-929-3256
1720021553 — GLEN N DOUGHERTY JR. MD
Practice Location Address:
2001 LAUREL ST
COLUMBIA, SC
29204-1018
Practice Phone: 803-254-3278
Practice Fax: 803-929-3256

Directions to “SOUTH CAROLINA HEART CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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