PROVIDENCE ORTHOPAEDIC GROUP, LLC

COLUMBIA, SC
NPI1982913018
Entity TypeOrganization
Authorized ContactSEAN MCNALLY
CEO
803-227-8152
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
Enumeration Date2010-10-07
Last Update Date2011-06-02
Business Address
PROVIDENCE ORTHOPAEDIC GROUP, LLC
114 GATEWAY CORPORATE BLVD SUITE 100
COLUMBIA, SC 29203-9740
Phone number: 803-227-8000
Mailing Address
PROVIDENCE ORTHOPAEDIC GROUP, LLC
PO BOX 9592
BELFAST, ME 04915-9592
Phone number: 803-227-8000
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