| NPI | 1639463771 |
|---|---|
| Doing Business As | PROVIDENCE FAMILY MEDICINE CAYCE |
| Entity Type | Organization |
| Authorized Contact | ANGELA HAITHCOCK Credentialing Coordinator 803-865-4780 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |