PROVIDENCE FAMILY PRACTICE LLC

Family Medicine

Active Organization
NPI: 1528066115

Practice Address

2750 LAUREL ST
SUITE 103
Columbia, SC 29204

Phone: (803) 254-5171

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 8387 (SC)

Frequently Asked Questions

NPI 1528066115 is the National Provider Identifier for PROVIDENCE FAMILY PRACTICE LLC, a Family Medicine provider located in Columbia, SC. This NPI was enumerated on July 8, 2005.

Quick Facts

NPI
1528066115
Type
Organization
Enumerated
Jul 8, 2005
Last Updated
Jun 23, 2010

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