Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolina Cardiology and Vascular Associates LLC

Organization Cardiovascular Disease Physician · NPI 1912400300

Carolina Cardiology and Vascular Associates LLC is a Cardiovascular Disease Physician in Irmo, South Carolina. Licensed in South Carolina. Registered with an NPI since 2018.

Licensed in
SC
In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Wellness Blvd Ste 106
Irmo, SC 29063-2872
Phone: (803) 888-2282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 17456 (SC)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 17456 (SC)

Record details

NPI number1912400300
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Bouknight — President/Owner · (803) 888-2282
NPI enumeratedMarch 13, 2018
Last updated in NPPESJune 27, 2022
Certification dateJune 27, 2022
Mailing address1 Wellness Blvd Ste 106, Irmo, SC 29063-2872

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