PROVIDENCE PHYSICIAN PRACTICES LLC

COLUMBIA, SC
NPI1790143766
Doing Business AsMIDLANDS PULMONARY, CRITICAL CARE & SLEEP MEDICINE
Entity TypeOrganization
Authorized ContactJESS JUDY
President
615-920-7000
Organization Subpart ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
Additional Taxonomies207RC0200X Internal Medicine, Critical Care Medicine
207RS0012X Internal Medicine, Sleep Medicine
Enumeration Date2016-02-05
Last Update Date2017-02-22
Business Address
PROVIDENCE PHYSICIAN PRACTICES LLC
1655 BERNARDIN AVE STE 350
COLUMBIA, SC 29204-2039
Phone number: 803-253-7575
Mailing Address
PROVIDENCE PHYSICIAN PRACTICES LLC
114 GATEWAY CORPORATE BLVD STE 425
COLUMBIA, SC 29203-9740
Phone number: 803-865-4780