Gerald Conrad Bauknight JR.
Interventional Cardiology Clinical Cardiac Electrophysiologist
1655 Bernardin Ave Ste 220
Columbia
, South Carolina 29204-2044
Gerald Conrad Bauknight JR.
Interventional Cardiology Clinical Cardiac Electrophysiologist
1655 Bernardin Ave Ste 220
Columbia
, South Carolina 29204-2044
(843) 792-6200
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About
Features
Specialties
- Clinical Cardiac Electrophysiologist
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Gerald Conrad Bauknight JR.
- Po Box 935722
- Atlanta, GA
- Zip : 31193-5722
- Phone : (843) 792-6200
Second Address
- Gerald Conrad Bauknight JR.
- 1655 Bernardin Ave Ste 220
- Columbia, SC
- Zip : 29204-2044
- Fax : (803) 409-7175
- Phone : (803) 409-7170
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FAQs
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Is Gerald Conrad Bauknight JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 17604 | SC |
| N | 207RI0011X | Interventional Cardiology | 17604 | SC |
National Provider Identifier
| NPI | 1144279084 |
|---|---|
| Provider Name | Gerald Conrad Bauknight JR. |
| First Address | Atlanta, GA 31193-5722 |
| Second Address | Columbia, SC 29204-2044 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2006 |
| Last Update Date | 24/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 17604 | SC LICENSE (01) | SC |
| 176044 | (05) | SC |
| E92177 | (02) | 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.