PROVIDENCE PHYSICIAN PRACTICES LLC

COLUMBIA, SC
NPI1033577002
Doing Business AsHOSPITAL PROFESSIONAL SERVICES
Entity TypeOrganization
Authorized ContactJESS JUDY
President
615-920-7000
Organization Subpart ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
Additional Taxonomies101YP2500X Counselor Professional
133V00000X Dietitian, Registered
207Q00000X Family Medicine
207RI0200X Internal Medicine Infectious Disease
2084P0800X Psychiatry & Neurology Psychiatry
208800000X Urology
225100000X Physical Therapist
225X00000X Occupational Therapist
363L00000X Nurse Practitioner
Enumeration Date2016-02-05
Last Update Date2017-02-22
Business Address
PROVIDENCE PHYSICIAN PRACTICES LLC
2435 FOREST DR
COLUMBIA, SC 29204-2026
Phone number: 803-256-5300
Mailing Address
PROVIDENCE PHYSICIAN PRACTICES LLC
114 GATEWAY CORPORATE BLVD STE 425
COLUMBIA, SC 29203-9740
Phone number: 803-865-4780