Organization · Type 2 NPI

Providence Orthopaedic Group, LLC

Orthopaedic Surgery Physician · Irmo, SC

NPI number 1033374244 Active

Practice location

One Wellness Boulevard, Suite 204
Irmo, SC 29063

Fax (803) 781-7334

Mailing address

PO Box 843384
Boston, MA 02284-3384

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000XNone listed

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1033374244

Providence Orthopaedic Group, LLC's National Provider Identifier is 1033374244, issued on Jul 28, 2008. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Irmo, SC. The record was last updated on Apr 26, 2010.