Carolina Cardiology Consultants, P.a.
Organization Active NPI Specialist · Greenville, SC
NPI 1386696763 · NPPES record last updated Dec 10, 2007
Key facts
- NPI
- 1386696763
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- CAROLINA CARDIOLOGY CONSULTANTS, P.A.
- Practice address
- 877 W Faris Rd
Ste B
Greenville, SC 29605-5608 - Phone
- (864) 455-6900
- Fax
- (864) 255-5619
- NPI assigned
- May 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Edward K. Lominack Jr., M.D.
- Title
- President
- Phone
- (864) 455-6900
Practitioners 31
-
Jimmy Ray Baucum, MD
-
Paul J Carroll, PA-C
-
Jerry D Champ, MD
-
Bradley E Elrod, PA
-
Julie L Fortson, NP
-
Jay Paul Gaucher, MD
-
Shea C Harrelson, PA
-
Paul R Jones, MD
-
Jesse Paul Jorgensen, M.D.
-
Jennifer Morris Lee, FNP
-
Brent T McLaurin, MD
-
Taylor S Newton, NP
-
Gayla Wilson Patterson, N.P.
National Provider Directory
Locations
1035 Medical Ridge Rd
Clinton, SC 29325
Phone (864) 547-2089
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
877 W Faris Rd
Ste B
Greenville, SC 29605-5608
Mailing address
PO Box 8795
Greenville, SC 29604-8795
Phone (864) 455-6900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4503 | Medicaid | SC | |
| GP2052 | Medicaid | SC | |
| GP2304 | Medicaid | SC | |
| GP4501 | Medicaid | SC |
Other providers in Greenville, SC
- Jacquelyn Carney
- Carol Cline Stilwell DMD PA
- Carolina Active Health Chiropractic, Inc.
- Carolina ASC LLC
- Carolina Birth Center Pma
- Carolina Case Managers
- Carolina Continence Center, LLC
- Carolina Cornea and Laser Center
- Carolina Dental Alliance of Greenville
- Carolina Dental Group
All providers in Greenville, SC · Specialist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.