PROVIDENCE CARDIOLOGY LLC

COLUMBIA, SC
NPI1336497742
Entity TypeOrganization
Authorized ContactLARRY ELLIS
CEO
803-254-3278
Organization Subpart ?Yes
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
Enumeration Date2012-08-16
Last Update Date2012-08-16
Business Address
PROVIDENCE CARDIOLOGY LLC
114 GATEWAY CORPORATE BLVD SUITE 330
COLUMBIA, SC 29203-9740
Phone number: 803-254-3278
Mailing Address
PROVIDENCE CARDIOLOGY LLC
2001 LAUREL ST
COLUMBIA, SC 29204-1018
Phone number: 803-254-3278