PROVIDENCE PHYSICIAN PRACTICES LLC

COLUMBIA, SC
NPI1902264971
Doing Business AsLAUREL IMAGING CENTER
Entity TypeOrganization
Authorized ContactJESS JUDY
President
615-920-7000
Organization Subpart ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
Additional Taxonomies293D00000X Physiological Laboratory
Enumeration Date2016-02-05
Last Update Date2016-02-05
Business Address
PROVIDENCE PHYSICIAN PRACTICES LLC
2750 LAUREL ST STE 104
COLUMBIA, SC 29204-2038
Phone number: 803-799-9035
Mailing Address
PROVIDENCE PHYSICIAN PRACTICES LLC
2750 LAUREL ST STE 104
COLUMBIA, SC 29204-2038
Phone number: 803-799-9035