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

PROVIDENCE PHYSICIAN PRACTICES LLC

Active Organization

PROVIDENCE PHYSICIAN PRACTICES LLC is a Internal Medicine organization located in IRMO, South Carolina. NPI 1558710376 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · IRMO, SC

Registration Details

NPI Number
1558710376
Provider Type
Organization
NPI Issued
Jun 13, 2016 (10.151417299453 yrs)
Last Updated
Feb 23, 2017

Practice Information

Address
7936 BROAD RIVER RD
IRMO, SC, 290632355
Browse SC providers · Browse ZIP 29063
Phone
8037324001
Fax
8037322123
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine
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.