PROVIDENCE ORTHOPAEDIC GROUP LLC

LEXINGTON, SC
NPI1417142662
Doing Business AsMOORE ORTHOPAEDIC CLINIC
Entity TypeOrganization
Authorized ContactSEAN MCNALLY
CEO
803-227-8152
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
Enumeration Date2007-09-11
Last Update Date2010-10-22
Business Address
PROVIDENCE ORTHOPAEDIC GROUP LLC
104 SALUDA POINTE DRIVE
LEXINGTON, SC 29072
Phone number: 803-227-8000
Mailing Address
PROVIDENCE ORTHOPAEDIC GROUP LLC
PO BOX 9592
BELFAST, ME 04915-9592
Phone number: 803-227-8000