Organization · Type 2 NPI

Providence Health Network LLC

Diagnostic Radiology Physician · Columbia, SC

NPI number 1467875229 Active

Practice location

2750 Laurel St, Suite 104
Columbia, SC 29204-2038

Call (803) 799-9035 Map

Fax (803) 799-9710

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X40-5997 (SC)
Physiological Laboratory 293D00000X40-5997 (SC)

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

20 other providers at this address

Other diagnostic radiology physician providers in Columbia

See all in Columbia →

About NPI 1467875229

Providence Health Network LLC's National Provider Identifier is 1467875229, issued on Jan 30, 2014. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Columbia, SC. The record was last updated on Jun 23, 2014.