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1336497742
PROVIDENCE CARDIOLOGY LLC
COLUMBIA, SC
NPI
1336497742
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Entity Type
Organization
Authorized Contact
LARRY ELLIS
CEO
803-254-3278
Organization Subpart ?
Yes
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
Enumeration Date
2012-08-16
Last Update Date
2012-08-16
Business Address
PROVIDENCE CARDIOLOGY LLC
114 GATEWAY CORPORATE BLVD SUITE 330
COLUMBIA, SC 29203-9740
Phone number: 803-254-3278
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Mailing Address
PROVIDENCE CARDIOLOGY LLC
2001 LAUREL ST
COLUMBIA, SC 29204-1018
Phone number: 803-254-3278
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