PROVIDENCE PHYSICIAN PRACTICES LLC

COLUMBIA, SC
NPI1689030595
Entity TypeOrganization
Authorized ContactKATHY TEAGUE
A VP, Secretary
615-920-7000
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies207R00000X Internal Medicine
207RC0000X Internal Medicine, Cardiovascular Disease
207V00000X Obstetrics & Gynecology
208600000X Surgery
Enumeration Date2016-01-07
Last Update Date2021-01-13
Business Address
PROVIDENCE PHYSICIAN PRACTICES LLC
2001 LAUREL ST STE 300
COLUMBIA, SC 29204-1018
Phone number: 803-254-2786
Mailing Address
PROVIDENCE PHYSICIAN PRACTICES LLC
114 GATEWAY CORPORATE BLVD STE 425
COLUMBIA, SC 29203-9740
Phone number: 803-865-4780