PROVIDENCE PHYSICIAN PRACTICES, LLC

Urology Physician

NPI: 1659885754Organization

Specialties, Licenses & Credentials

Radiation Oncology Physician

Radiology — Radiation Oncology

Code: 2085R0001X

Urology PhysicianPrimary

Urology

Code: 208800000X

Contact & Hours

Address: 114 GATEWAY CORPORATE BLVD STE 440
COLUMBIA, SC 29203
Phone: (803) 365-8620

Quick Facts

NPI: 1659885754
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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