Waccamaw Cardiology Pc in Conway - Specialist
Waccamaw Cardiology Pc - NPI 1013900125
Waccamaw Cardiology Pc is a Specialist in Conway, South Carolina. Waccamaw Cardiology Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Waccamaw Cardiology Pc is 1013900125. The last update date is 2007-10-11.
Waccamaw Cardiology Pc's current location address is 2376 Cypress Cir, Conway, South Carolina. You can contact this provider via phone number 8433478953 and fax number 8433470226. The mailing address for Waccamaw Cardiology Pc is 2376 Cypress Cir, Conway, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Waccamaw Cardiology Pc |
|---|---|
| Address | 2376 Cypress Cir, Conway, South Carolina |
| Phone Number | 8433478953 |
| Fax Number | 8433470226 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gresko J. Andrew |
| Credentials | MD |
| Telephone Number | 8433478953 |
NPI Number Detail
| NPI Number | 1013900125 |
|---|---|
| Provider Enumeration Date | 2005-08-24 |
| Last Updated Date | 2007-10-11 |
Provider Mailing Address Detail
| Address | 2376 Cypress Cir |
|---|---|
| City | Conway |
| State | South Carolina (SC) |
| Post Code | 295268964 |
| Phone Number | 8433478953 |
| Fax Number | 8433470226 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP3178 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Waccamaw Cardiology Pc by the Centers for Medicare & Medicaid Services?
The Waccamaw Cardiology Pc has been assigned the NPI (National Provider Identifier) 1013900125 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Waccamaw Cardiology Pc located?
The Waccamaw Cardiology Pc is located at 2376 Cypress Cir, Conway, SC 295268964.
What is Waccamaw Cardiology Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Waccamaw Cardiology Pc is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013900125 to Waccamaw Cardiology Pc?
The Centers for Medicare & Medicaid Services assigned the 1013900125 to Waccamaw Cardiology Pc on 2005-08-24.
As of what date were the details related to Waccamaw Cardiology Pc most recently updated or revised?
The information pertaining to Waccamaw Cardiology Pc, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-11.