Organization · Type 2 NPI

Providence Physician Practices LLC

Diagnostic Radiology Physician · Columbia, SC

NPI number 1033577002 Active

Practice location

2435 Forest Dr
Columbia, SC 29204-2026

Call (803) 256-5300 Map

Mailing address

114 Gateway Corporate Blvd, Ste 425
Columbia, SC 29203-9740

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Registered Dietitian 133V00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Infectious Disease Physician 207RI0200XNone listed
Psychiatry Physician 2084P0800XNone listed
Diagnostic Radiology Physician Primary 2085R0202XNone listed
Urology Physician 208800000XNone listed
Physical Therapist 225100000XNone listed
Occupational Therapist 225X00000XNone listed
Nurse Practitioner 363L00000XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1033577002

Providence Physician Practices LLC's National Provider Identifier is 1033577002, issued on Feb 5, 2016. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Columbia, SC. The record was last updated on Feb 22, 2017.