Basic Information
Provider Information
NPI: 1386985620
EntityType: 2
ReplacementNPI:  
OrganizationName: THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: RMC CARDIOLOGY
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1245
Address2:  
City: ORANGEBURG
State: SC
PostalCode: 291161245
CountryCode: US
TelephoneNumber: 8033954497
FaxNumber: 8033952237
Practice Location
Address1: 3000 SAINT MATTHEWS RD
Address2:  
City: ORANGEBURG
State: SC
PostalCode: 291181442
CountryCode: US
TelephoneNumber: 8033952200
FaxNumber: 8033952237
Other Information
ProviderEnumerationDate: 03/12/2013
LastUpdateDate: 05/08/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: MASON
AuthorizedOfficialFirstName: CHERYL
AuthorizedOfficialMiddleName: S
AuthorizedOfficialTitleorPosition: C.F.O.
AuthorizedOfficialTelephone: 8033952224
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


Home