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

Providence Cardiology LLC

Organization Cardiovascular Disease Physician · NPI 1083995641

Providence Cardiology LLC is a Cardiovascular Disease Physician in West Columbia, South Carolina. Registered with an NPI since 2011.

In the registry since
2011
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

3103 Sunset Blvd
West Columbia, SC 29169-4817
Phone: (803) 794-3950
Fax: (803) 739-1485
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1083995641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Koenig — Chief Financial Officer · (803) 254-3278
Other names Providence Cardiology
NPI enumeratedSeptember 8, 2011
Last updated in NPPESJune 8, 2012
Mailing address2001 Laurel St, Columbia, SC 29204-1018

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