Provider Demographics
NPI:1831434703
Name:DR RHONDA DUNCAN MAULDIN CARDIOLOGY LLC
Entity type:Organization
Organization Name:DR RHONDA DUNCAN MAULDIN CARDIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICEMANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:T
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-437-8444
Mailing Address - Street 1:803 N FANT ST STE 3A
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-5718
Mailing Address - Country:US
Mailing Address - Phone:864-437-8444
Mailing Address - Fax:864-437-8448
Practice Address - Street 1:803 N FANT ST STE 3A
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-5718
Practice Address - Country:US
Practice Address - Phone:864-437-8444
Practice Address - Fax:864-437-8448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-04
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC16714207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC16714OtherSC LICENSE