Colleton Heart Center, Llc
LBN: Colleton Heart Center, Llc
Colleton Heart Center, Llc is an health care organization with primary practice located at 415 Robertson Blvd Ste C , Walterboro SC 29488-5713. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty.
Colleton Heart Center, Llc can be contacted via phone (843) 549-3400, or through Gregory, Jonathan M via phone (843) 549-3400.
Contact Information
Primary practice address
415 Robertson Blvd Ste C
Walterboro SC 29488-5713
Phone: (843) 549-3400
Fax: (843) 549-1424
Website:
Authorized official contact:
Name: Gregory, Jonathan M Doctor of Medicine (MD)
Phone: (843) 549-3400
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 21611 | South Carolina |
Profile Details
| NPI number | 1972632115 |
|---|---|
| LBN Legal business name | Colleton Heart Center, Llc |
| DBA Doing business as | |
| Authorized official | Gregory, Jonathan M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972632115 | NPPES |
| South Carolina | Other | 1417940792 | INDIVIDUAL NPI # |
| South Carolina | MEDICAID | 216117 | INDIVIDUAL NPI # |
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