PROVIDENCE GROUP PRACTICES II, LLC

COLUMBIA, SC
NPI1396192001
Doing Business AsPROVIDENCE HEART
Entity TypeOrganization
Authorized ContactKATHY TEAGUE
A VP, Corporate Secretary
615-920-7000
Organization Subpart ?No
Primary Taxonomy207RI0011X Internal Medicine, Interventional Cardiology
Additional Taxonomies207RC0000X Internal Medicine, Cardiovascular Disease
207UN0901X Nuclear Medicine, Nuclear Cardiology
Enumeration Date2016-05-23
Last Update Date2020-11-23
Business Address
PROVIDENCE GROUP PRACTICES II, LLC
1655 BERNARDIN AVE STE 220
COLUMBIA, SC 29204-2039
Phone number: 803-409-7170
Mailing Address
PROVIDENCE GROUP PRACTICES II, LLC
330 SEVEN SPRINGS WAY STE 425
BRENTWOOD, TN 37027-5098
Phone number: 615-920-7000