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Premier Cardiovascular Care
VA Clinic/Center in Fort Mill, South Carolina
NPI 1245625813

Premier Cardiovascular Care is a VA Clinic/Center based in Waxhaw, SC and is specialized in VA. Premier Cardiovascular Care practices in Fort Mill, SC. The NPI Number for Premier Cardiovascular Care is 1245625813 and holds a License No. (South Carolina).

The current practice location address for Premier Cardiovascular Care is 1040 Edgewater Corporate Pkwy, Fort Mill, SC and can be reached out via phone at 704-609-7334 and via fax at 855-655-3374. You can also correspond with Premier Cardiovascular Care through the mailing address at 1600 CHURCHILL DOWNS DR, WAXHAW, NC - 28173-6627 (mailing address contact number: 704-609-7334).

Location: 1040 Edgewater Corporate Pkwy, Fort Mill, SC, 28173-6627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245625813
Provider Name
Premier Cardiovascular Care
Credential
Provider Entity Type
Organization
Address
1040 Edgewater Corporate Pkwy, Fort Mill, SC, 28173-6627
Phone Number
704-609-7334
Fax Number
855-655-3374
Provider Enumeration Date
04/01/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1040 Edgewater Corporate Pkwy
City
Fort Mill
State
South Carolina
Zip
29707-4514
Phone Number
704-609-7334
Fax Number
855-655-3374
person
Provider Business Mailing Address Details
Address
1600 Churchill Downs Dr
City
Waxhaw
State
North Carolina
Zip
28173-6627
Phone Number
704-609-7334
Fax Number
855-655-3374
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
1837 (North Carolina)
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 7
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Prison Health
Taxonomy
261QP2400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 8
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
VA
Taxonomy
261QV0200X
License No.
()
Definition
Definition to come...
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