PROVIDENCE ORTHOPAEDIC GROUP

LEXINGTON, SC
NPI1285674572
Doing Business AsMOORE ORTHOPAEDIC CLINIC
Entity TypeOrganization
Authorized ContactSEAN MCNALLY
CEO
803-227-8152
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: SC  570521956)
Enumeration Date2006-06-07
Last Update Date2010-06-29
Business Address
PROVIDENCE ORTHOPAEDIC GROUP
4721 SUNSET BLVD SUITE A
LEXINGTON, SC 29072-9151
Phone number: 803-227-8007
Mailing Address
PROVIDENCE ORTHOPAEDIC GROUP
P.O. BOX 843384
BOSTON, MA 02284-3384
Phone number: 803-227-8007