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PROVIDENCE PHYSICIAN PRACTICES LLC
Diagnostic Radiology Physician
NPI: 1902264971Organization
Specialties, Licenses & Credentials
Physiological Laboratory
Physiological Laboratory
Code: 293D00000X
Diagnostic Radiology PhysicianPrimary
Radiology — Diagnostic Radiology
Code: 2085R0202X
Contact & Hours
- Address
- 2750 LAUREL ST, SUITE 104
COLUMBIA, SC 29204 - Phone
- (803) 799-9035
Quick Facts
- NPI
- 1902264971
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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