PROVIDENCE ORTHOPEDIC GROUP, LLC

LEXINGTON, SC
NPI1831513324
Entity TypeOrganization
Authorized ContactMATT FRICK
Avd, Outpatient Services
803-227-8104
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
Enumeration Date2014-02-05
Last Update Date2014-02-05
Business Address
PROVIDENCE ORTHOPEDIC GROUP, LLC
104 SALUDA POINTE DR
LEXINGTON, SC 29072-7295
Phone number: 803-227-8000
Mailing Address
PROVIDENCE ORTHOPEDIC GROUP, LLC
7936 BROAD RIVER RD
IRMO, SC 29063-2355
Phone number: 803-227-8000
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PROVIDENCE ORTHOPAEDIC GROUP LLC