PROVIDENCE HEALTH NETWORK, LLC

COLUMBIA, SC
NPI1689944738
Doing Business AsCOLUMBIA MEDICAL ASSOCIATES
Entity TypeOrganization
Authorized ContactANGELA HAITHCOCK
Project Manager
803-865-4780
Organization Subpart ?Yes
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2012-01-06
Last Update Date2012-01-06
Business Address
PROVIDENCE HEALTH NETWORK, LLC
2750 LAUREL ST SUITE 303
COLUMBIA, SC 29204-2038
Phone number: 803-252-1953
Mailing Address
PROVIDENCE HEALTH NETWORK, LLC
114 GATEWAY CORPORATE BLVD SUITE 425
COLUMBIA, SC 29203-9740
Phone number: 803-865-4780