Organization Name: | PROVIDENCE CARDIOLOGY LLC |
NPI Number: | 1588945141 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHLEEN L KOENIG (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 595 Newberry Hwy Saluda |
State: | SC US |
Postal Code: | 291387808 |
Phone Number: | 8032543278 |
Fax Number: | 8033768010 |
NPI Enumeration Date: | 09/08/2011 |
NPI Last Update Date: | 09/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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. |