PROVIDENCE PHYSICIAN PRACTICES, LLC

COLUMBIA, SC
NPI1255790499
Doing Business AsLAUREL IMAGING CENTER
Entity TypeOrganization
Authorized ContactTERRENCE DILLON
Assistant Secretary
502-596-7220
Organization Subpart ?No
Primary Taxonomy293D00000X Physiological Laboratory
Enumeration Date2016-02-16
Last Update Date2022-04-25
Business Address
PROVIDENCE PHYSICIAN PRACTICES, LLC
2750 LAUREL ST SUITE 104
COLUMBIA, SC 29204-2038
Phone number: 803-799-9035
Mailing Address
PROVIDENCE PHYSICIAN PRACTICES, LLC
330 SEVEN SPRINGS WAY
BRENTWOOD, TN 37027-5098
Phone number: 615-920-7000