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1194028019
PROVIDENCE ER SERVICES, LLC
COLUMBIA, SC
NPI
1194028019
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Entity Type
Organization
Authorized Contact
DAVID STEWART
President
803-865-4850
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2010-12-15
Last Update Date
2010-12-15
Business Address
PROVIDENCE ER SERVICES, LLC
2435 FOREST DR
COLUMBIA, SC 29204-2026
Phone number: 803-256-5300
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Mailing Address
PROVIDENCE ER SERVICES, LLC
PO BOX 96088
OKLAHOMA CITY, OK 73143-6088
Phone number: 800-225-0953
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