PROVIDENCE FAMILY PRACTICE LLC

COLUMBIA, SC
NPI1528066115
Entity TypeOrganization
Authorized ContactFRAMPTON W HENDERSON
Managing Partner
803-254-5171
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  8387)
Additional Taxonomies207Q00000X Family Medicine
(Licence: SC  13507)
207Q00000X Family Medicine
(Licence: SC  21987)
Enumeration Date2005-07-08
Last Update Date2010-06-23
Business Address
PROVIDENCE FAMILY PRACTICE LLC
2750 LAUREL ST SUITE 103
COLUMBIA, SC 29204-2023
Phone number: 803-254-5171
Mailing Address
PROVIDENCE FAMILY PRACTICE LLC
2750 LAUREL ST SUITE 103
COLUMBIA, SC 29204-2038
Phone number: 803-254-5171