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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENCE FAMILY PRACTICE LLC

Active Organization

Family Medicine · COLUMBIA, SC

Registration Details

NPI Number
1528066115
Provider Type
Organization
NPI Issued
Jul 8, 2005 (20.791149026375 yrs)
Last Updated
Jun 23, 2010
Licenses
13507 (SC)
21987 (SC)
8387 (SC)

Practice Information

Address
2750 LAUREL ST
SUITE 103
COLUMBIA, SC, 292042023
Browse SC providers · Browse ZIP 29204
Phone
8032545171
Fax
8037797403
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Organizations in COLUMBIA, SC

Name NPI
FIRST CARE. INC 1912956749
PALMETTO HEALTH 1194770958
DOCTORS CARE, PA 1366499048
MELTON R STUCKEY 1336184837
PALMETTO HEALTH 1962447466
PALMETTO HEALTH 1659316743
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.