Carolina Cardiology and Vascular Associates LLC

NPI #1912400300 in Irmo, South Carolina

Provider Information

NPI Number
1912400300
Entity Type
Organization
Organization Name
Carolina Cardiology and Vascular Associates LLC
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Mar 13, 2018
Last Updated
Jun 27, 2022

Practice Location

Address
1 WELLNESS BLVD STE 106
City
Irmo
ZIP Code
29063-2872
Phone
(803) 888-2282

Authorized Official

Name
DANIEL P BOUKNIGHT, MD
Title
PRESIDENT/OWNER
Phone
(803) 888-2282

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Interventional CardiologyInterventional Cardiology
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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