Organization · Type 2 NPI

Providence Physician Practices LLC

Diagnostic Radiology Physician · Columbia, SC

NPI number 1902264971 Active

Practice location

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

Fax (803) 799-9710

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed
Physiological Laboratory 293D00000XNone listed

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

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About NPI 1902264971

Providence Physician Practices LLC's National Provider Identifier is 1902264971, 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 5, 2016.