Healthcare Provider Details

I. General information

NPI: 1124942289
Provider Name (Legal Business Name): TRINITY CARDIOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

584 SOUTHGATE DR
CAMDEN SC
29020-9277
US

IV. Provider business mailing address

PO BOX 69
CAMDEN SC
29021-0069
US

V. Phone/Fax

Practice location:
  • Phone: 803-669-0914
  • Fax:
Mailing address:
  • Phone: 803-669-0914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MITCHELL TODD ALDERSON
Title or Position: PRESIDENT
Credential: MD, FACC, MBA
Phone: 803-669-0914