Organization · Type 2 NPI

Providence Physician Practices LLC

Internal Medicine Physician · Irmo, SC

NPI number 1558710376 Active

Practice location

7936 Broad River Rd
Irmo, SC 29063-2355

Fax (803) 732-2123

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician Primary 207R00000XNone listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1558710376

Providence Physician Practices LLC's National Provider Identifier is 1558710376, issued on Jun 13, 2016. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Irmo, SC. The record was last updated on Feb 23, 2017.