PROVIDENCE ORTHOPAEDIC GROUP LLC

COLUMBIA, SC
NPI1255308342
Entity TypeOrganization
Authorized ContactSEAN P. MCNALLY
CEO
803-227-8152
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: SC  570521956)
Enumeration Date2006-03-07
Last Update Date2010-10-22
Business Address
PROVIDENCE ORTHOPAEDIC GROUP LLC
14 MEDICAL PARK RD SUITE 200
COLUMBIA, SC 29203-6877
Phone number: 803-227-8152
Mailing Address
PROVIDENCE ORTHOPAEDIC GROUP LLC
PO BOX 9592
BELFAST, ME 04915-9592
Phone number: 803-227-8152
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