PROVIDENCE CARDIOLOGY LLC

COLUMBIA, SC
NPI1790196293
Entity TypeOrganization
Authorized ContactLARRY R ELLIS
CEO
803-254-3278
Organization Subpart ?No
Primary Taxonomy207RC0000X Internal Medicine Cardiovascular Disease
Enumeration Date2014-05-19
Last Update Date2014-05-19
Business Address
PROVIDENCE CARDIOLOGY LLC
114 GATEWAY CORPORATE BLVD SUITE 300
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
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