Provider Demographics
NPI:1770585648
Name:CAROLINA ARRHYTHMIA CONSULTANTS, PA
Entity type:Organization
Organization Name:CAROLINA ARRHYTHMIA CONSULTANTS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-534-1770
Mailing Address - Street 1:897 VON KOLNITZ ROAD SUITE 101
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3630
Mailing Address - Country:US
Mailing Address - Phone:843-534-1770
Mailing Address - Fax:843-453-3943
Practice Address - Street 1:897 VON KOLNITZ ROAD SUITE 101
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3630
Practice Address - Country:US
Practice Address - Phone:843-534-1770
Practice Address - Fax:843-453-3943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-11
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCG955685557Medicare PIN