Andrew J Gresko
Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
2376 Cypress Cir Suite 102
Conway
, South Carolina 29526-8964
Andrew J Gresko
Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
2376 Cypress Cir Suite 102
Conway
, South Carolina 29526-8964
(843) 234-6990
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Clinical Cardiac Electrophysiologist
Languages spoken
- English
Location
First Address
- Andrew J Gresko
- 300 Singleton Ridge Rd
- Conway, SC
- Zip : 29526-9142
- Fax : (843) 234-6990
- Phone : (843) 234-6948
Second Address
- Andrew J Gresko
- 2376 Cypress Cir Suite 102
- Conway, SC
- Zip : 29526-8964
- Fax : (843) 347-0226
- Phone : (843) 347-8953
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | 16174 | SC |
| Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 16174 | SC |
National Provider Identifier
| NPI | 1245231372 |
|---|---|
| Provider Name | Andrew J Gresko |
| First Address | Conway, SC 29526-9142 |
| Second Address | Conway, SC 29526-8964 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2005 |
| Last Update Date | 21/02/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 161746 | (05) | SC |
| F54339 | (02) | SC |
| P01204804 | RAILROAD MEDICARE (01) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.