Organization · Type 2 NPI

Providence Physician Practices LLC

Surgery Physician · Columbia, SC

NPI number 1689034548 Active

Practice location

1655 Bernardin Ave, Ste 110
Columbia, SC 29204-2039

Call (803) 409-7130 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Plastic Surgery Physician	208200000X	None listed
Surgery Physician Primary	208600000X	None listed
Plastic and Reconstructive Surgery Physician	2086S0122X	None listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1689034548

Providence Physician Practices LLC's National Provider Identifier is 1689034548, issued on Mar 4, 2016. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Columbia, SC. The record was last updated on Feb 22, 2017.