Provider Demographics
NPI:1861794042
Name:CAROLINA ARRHYTHMIA CONSULTANTS
Entity type:Organization
Organization Name:CAROLINA ARRHYTHMIA CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACC
Authorized Official - Phone:843-534-1770
Mailing Address - Street 1:897 VON KOLNITZ RD STE 101
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3630
Mailing Address - Country:US
Mailing Address - Phone:843-534-1770
Mailing Address - Fax:877-453-3943
Practice Address - Street 1:897 VON KOLNITZ RD STE 101
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3630
Practice Address - Country:US
Practice Address - Phone:843-534-1770
Practice Address - Fax:877-453-3943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-22
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCTL1599363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty