PROVIDENCE ORTHOPEDIC GROUP, LLC

COLUMBIA, SC
NPI1962827063
Doing Business AsMOORE CENTER FOR ORTHOPEDICS
Entity TypeOrganization
Authorized ContactMATT FRICK
A VP, Outpatient Services
803-227-8104
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
Enumeration Date2014-02-26
Last Update Date2014-02-26
Business Address
PROVIDENCE ORTHOPEDIC GROUP, LLC
3 RICHLAND MEDICAL PARK DR SUITE 120
COLUMBIA, SC 29203-6849
Phone number: 803-227-8000
Mailing Address
PROVIDENCE ORTHOPEDIC GROUP, LLC
104 SALUDA POINTE DR
LEXINGTON, SC 29072-7295
Phone number: 803-227-8000