PROVIDENCE PHYSICIAN PRACTICES LLC

COLUMBIA, SC
NPI1770941742
Doing Business AsTHORACIC & CARDIOVASCULAR ASSOCIATES
Entity TypeOrganization
Authorized ContactJESS JUDY
President
615-920-7000
Organization Subpart ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
Additional Taxonomies208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date2016-02-05
Last Update Date2017-02-22
Business Address
PROVIDENCE PHYSICIAN PRACTICES LLC
2750 LAUREL ST STE 305
COLUMBIA, SC 29204-2038
Phone number: 803-254-5140
Mailing Address
PROVIDENCE PHYSICIAN PRACTICES LLC
114 GATEWAY CORPORATE BLVD STE 425
COLUMBIA, SC 29203-9740
Phone number: 803-865-4780