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1659818599
PROVIDENCE PROFESSIONAL SERVICES LLC
COLUMBIA, SC
NPI
1659818599
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Entity Type
Organization
Authorized Contact
SARA MILLER
Director
615-920-7514
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2017-01-30
Last Update Date
2017-01-30
Business Address
PROVIDENCE PROFESSIONAL SERVICES LLC
2435 FOREST DR
COLUMBIA, SC 29204-2026
Phone number: 615-920-7514
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Mailing Address
PROVIDENCE PROFESSIONAL SERVICES LLC
330 SEVEN SPRINGS WAY
BRENTWOOD, TN 37027-5098
Phone number: 615-920-7514
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