PROVIDENCE PHYSICIAN PRACTICES LLC

IRMO, SC
NPI1558710376
Doing Business AsTHREE RIVERS MEDICAL ASSOCIATES
Entity TypeOrganization
Authorized ContactJESS N JUDY
President
615-920-7000
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207Q00000X Family Medicine
Enumeration Date2016-06-13
Last Update Date2017-02-23
Business Address
PROVIDENCE PHYSICIAN PRACTICES LLC
7936 BROAD RIVER RD
IRMO, SC 29063-2355
Phone number: 803-732-4001
Mailing Address
PROVIDENCE PHYSICIAN PRACTICES LLC
114 GATEWAY CORPORATE BLVD STE 425
COLUMBIA, SC 29203-9740
Phone number: 803-865-4780