PROVIDENCE GROUP PRACTICES LLC

COLUMBIA, SC
NPI1598123549
Doing Business AsSOUTH CAROLINA HEART CENTER
Entity TypeOrganization
Authorized ContactJESS JUDY
President
615-920-7000
Organization Subpart ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
Additional Taxonomies207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology
207RI0011X Internal Medicine, Interventional Cardiology
207UN0901X Nuclear Medicine, Nuclear Cardiology
Enumeration Date2016-02-05
Last Update Date2017-02-22
Business Address
PROVIDENCE GROUP PRACTICES LLC
2001 LAUREL ST
COLUMBIA, SC 29204-1018
Phone number: 803-254-3278
Mailing Address
PROVIDENCE GROUP PRACTICES LLC
2001 LAUREL ST
COLUMBIA, SC 29204-1018
Phone number: 803-254-3278