PROVIDENCE ORTHOPEDIC GROUP, LLC

SUMTER, SC
NPI1528462470
Doing Business AsMOORE CENTER FOR ORTHOPEDICS
Entity TypeOrganization
Authorized ContactMATT FRICK
A VP, Outpatient Services
803-227-8104
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
Enumeration Date2014-10-21
Last Update Date2014-10-21
Business Address
PROVIDENCE ORTHOPEDIC GROUP, LLC
100 N SUMTER ST
SUMTER, SC 29150-4975
Phone number: 803-227-8000
Mailing Address
PROVIDENCE ORTHOPEDIC GROUP, LLC
104 SALUDA POINTE DR
LEXINGTON, SC 29072-7295
Phone number: 803-227-8000