| NPI | 1740484658 |
|---|---|
| Doing Business As | PROVIDENCE EKG PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | JEREMY W WHITAKER Manager 803-865-4798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2008-04-29 |