Provider Demographics
NPI:1831166602
Name:LEXINGTON HEART CLINIC, LLC
Entity type:Organization
Organization Name:LEXINGTON HEART CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:BAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-739-6500
Mailing Address - Street 1:120 HOSPITAL DR. W
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169-3406
Mailing Address - Country:US
Mailing Address - Phone:803-739-6500
Mailing Address - Fax:803-739-6300
Practice Address - Street 1:120 HOSPITAL DR. W
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-3406
Practice Address - Country:US
Practice Address - Phone:803-739-6500
Practice Address - Fax:803-739-6300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-01
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty