NPI 1003197666
Providence Cardiology LLC
Practice location
- Address
- 124 Wren St, Barnwell, SC 29812-1527
- Phone
- (803) 254-3278
- Fax
- (803) 376-8010
- Mailing address
- 2001 Laurel St, Columbia, SC 29204-1018
Authorised official
- Name
- Kathleen L Koenig
- Title
- Chief Financial Officer
- Phone
- (803) 254-3278
Registered specialties
Cardiovascular Disease Physician
Primary
Registry record
- NPI
- 1003197666
- Entity type
- Organization
- NPI issued
- 8 Sep 2011
- Record last updated
- 8 Sep 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.