PROVIDENCE PHYSICIAN PRACTICES LLC

COLUMBIA, SC
NPI1083072045
Doing Business AsANESTHESIA ASSOCIATES OF PROVIDENCE
Entity TypeOrganization
Authorized ContactJESS JUDY
President
615-920-7000
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
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