| Columbia Cardiology, Llc | |
|
1 The Common At Lugoff Lugoff SC 29078-8725 | |
| (803) 744-4900 | |
| (803) 744-2621 |
| Full Name | Columbia Cardiology, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 The Common At Lugoff, Lugoff, South Carolina |
| Authorized Official Name and Position | Tracy B Brown (BUSINESS OFFICE SUPERVISOR) |
| Authorized Official Contact | 8037442612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Cardiology, Llc Po Box 4187 Columbia SC 29240-4187 Ph: (803) 744-4900 | Columbia Cardiology, Llc 1 The Common At Lugoff Lugoff SC 29078-8725 Ph: (803) 744-4900 |
| NPI Number | 1184955684 |
|---|---|
| Provider Enumeration Date | 01/22/2010 |
| Last Update Date | 11/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184955684 | NPI | - | NPPES |
| GP3493 | Medicaid | SC | |
| CJ9082 | Other | SC | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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