Providence Cardiology LLC
NPI #1235410887 in Hartsville, South Carolina
Provider Information
- NPI Number
- 1235410887
- Entity Type
- Organization
- Organization Name
- Providence Cardiology LLC
- Primary Specialty
- Internal Medicine - Cardiovascular Disease
- Enumeration Date
- Sep 8, 2011
- Last Updated
- Jan 19, 2016
Practice Location
- Address
- 904 S 4TH ST STE B
- City
- Hartsville
- State
- South Carolina
- ZIP Code
- 29550-0704
- Phone
- (843) 332-6433
Authorized Official
- Name
- KATHLEEN L KOENIG
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (803) 254-3278
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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