| NPI | 1083995641 |
|---|---|
| Doing Business As | PROVIDENCE CARDIOLOGY |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN L KOENIG Chief Financial Officer 803-254-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2012-06-08 |