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1811289382
PROVIDENCE CARDIOVASCULAR & THORACIC SURGERY, LLC
COLUMBIA, SC
NPI
1811289382
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Entity Type
Organization
Authorized Contact
JOHN P SUTTON, III
President
803-254-5140
Organization Subpart ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2011-05-03
Last Update Date
2011-05-04
Business Address
PROVIDENCE CARDIOVASCULAR & THORACIC SURGERY, LLC
2435 FOREST DR
COLUMBIA, SC 29204-2026
Phone number: 803-254-5140
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Mailing Address
PROVIDENCE CARDIOVASCULAR & THORACIC SURGERY, LLC
2435 FOREST DR
COLUMBIA, SC 29204-2026
Phone number: 803-254-5140
Copy
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