Waccamaw Cardiology Pc

LBN: Waccamaw Cardiology Pc
Waccamaw Cardiology Pc is an health care organization with primary practice located at 2376 Cypress Cir Suite 102, Conway SC 29526-8964. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Waccamaw Cardiology Pc can be contacted via phone (843) 347-8953, or through Gresko, Andrew J. via phone (843) 347-8953.

Contact Information

Primary practice address
2376 Cypress Cir Suite 102 Conway SC 29526-8964
Phone: (843) 347-8953
Fax: (843) 347-0226
Website:
Map and Directions
Authorized official contact:
Name: Gresko, Andrew J. Doctor of Medicine (MD)
Phone: (843) 347-8953

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1013900125
LBN Legal business name Waccamaw Cardiology Pc
DBA Doing business as
Authorized official Gresko, Andrew J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2005
Last updated Oct 11th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013900125 NPPES
South Carolina MEDICAID GP3178

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