| Organization Name: | SOUTH CAROLINA HEART CENTER PA |
| NPI Number: | 1104088707 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHY KOENIG (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 506 North St Bamberg |
| State: | SC US |
| Postal Code: | 290031319 |
| Phone Number: | 8032456290 |
| Fax Number: | 8032456291 |
| NPI Enumeration Date: | 06/26/2008 |
| NPI Last Update Date: | 06/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |