Cardiac Cin of South Carolina LLC

Organization Active NPI Cardiovascular Disease Physician · North Charleston, SC

NPI 1003318080 · NPPES record last updated Feb 14, 2020

Key facts

NPI
1003318080
Entity type
Organization (NPI type 2)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
Legal business name
CARDIAC CIN OF SOUTH CAROLINA LLC
Practice address
6650 Rivers Ave Ste 405
North Charleston, SC 29406-4809
Phone
(615) 386-0064
NPI assigned
Mar 6, 2018
Organization subpart
No

Authorized official

Name
Edward Leland Hutton Eadie
Title
Director / Authorized Official
Phone
(615) 733-2064

National Provider Directory

Locations

6650 Rivers Ave
Ste 405
North Charleston, SC 29406

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RC0000X Yes
Interventional Cardiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RI0011X

Addresses

Primary practice location

6650 Rivers Ave Ste 405
North Charleston, SC 29406-4809

Mailing address

102 Woodmont Blvd Ste 350
Nashville, TN 37205-2216
Phone (615) 386-0064

Other providers in North Charleston, SC

All providers in North Charleston, SC · Cardiovascular Disease Physician in South Carolina

Sources for this page

Verify at the official NPI Registry.