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PROVIDENCE PHYSICIAN PRACTICES LLC

Family Medicine Physician

NPI: 1689030595Organization

Specialties, Licenses & Credentials

Family Medicine

Code: 207Q00000X

Internal Medicine

Code: 207R00000X

Internal Medicine — Cardiovascular Disease

Code: 207RC0000X

Obstetrics & Gynecology

Code: 207V00000X

Surgery

Code: 208600000X

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Contact & Hours

Address
2001 LAUREL ST, STE 300
COLUMBIA, SC 29204

Quick Facts

NPI
1689030595
Entity Type
Organization
Medicare
Not confirmed
Specialties
5
Locations
1

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