MD Gerald Conrad Bauknight JR., NPI 1144279084
Clinical Cardiac Electrophysiology Physician in Columbia, SC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1144279084
NPI Entity Type Individual
Provider Name MD Gerald Conrad Bauknight JR.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1655 Bernardin Ave Ste 220, Columbia, SC, US
Provider Mailing Address Po Box 935722, Atlanta, GA, US, 311935722
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207RC0001X

Taxonomy Name Clinical Cardiac Electrophysiology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 17604
License State SC
Description A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Business Address

MD Gerald Conrad Bauknight JR.
1655 Bernardin Ave Ste 220

Columbia, SC, US

Phone: 803-409-7170
Fax: 803-409-7175

Mailing Address

MD Gerald Conrad Bauknight JR.
Po Box 935722
Atlanta, GA, US
ZIP 311935722
Phone: 843-792-6200

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207RI0011X

Allopathic & Osteopathic Physicians

Internal Medicine

17604 SC No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
176044 SC MEDICAID 05
17604 SC SC LICENSE 01

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1104473065

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Organization

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