PROVIDENCE ORTHOPAEDIC GROUP, LLC

IRMO, SC
NPI1033374244
Entity TypeOrganization
Authorized ContactSEAN MCNALLY
CEO
803-227-8152
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
Enumeration Date2008-07-28
Last Update Date2010-04-26
Business Address
PROVIDENCE ORTHOPAEDIC GROUP, LLC
ONE WELLNESS BOULEVARD SUITE 204
IRMO, SC 29063
Phone number: 803-227-8004
Mailing Address
PROVIDENCE ORTHOPAEDIC GROUP, LLC
PO BOX 843384
BOSTON, MA 02284-3384
Phone number: 803-227-8004
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