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Providence Orthopaedic Group
Orthopedic Surgery Physician in Lexington, South Carolina
NPI 1285674572

Providence Orthopaedic Group is a Orthopedic Surgery Physician based in Boston, SC. Providence Orthopaedic Group practices in Lexington, SC. The NPI Number for Providence Orthopaedic Group is 1285674572 and holds a License No. 570521956 (South Carolina).

The current practice location address for Providence Orthopaedic Group is 4721 Sunset Blvd, Lexington, SC and can be reached out via phone at 803-227-8007 and via fax at 803-996-3180. You can also correspond with Providence Orthopaedic Group through the mailing address at P.O. BOX 843384, BOSTON, MA - 02284-3384 (mailing address contact number: 803-227-8007).

Location: 4721 Sunset Blvd, Lexington, SC, 02284-3384
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285674572
Provider Name
Providence Orthopaedic Group
Credential
Provider Entity Type
Organization
Address
4721 Sunset Blvd, Lexington, SC, 02284-3384
Phone Number
803-227-8007
Fax Number
803-996-3180
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DM0194 01 SC MEDICAID DME#
PA0686 05 SC
14979900001 01 SC MEDICARE DME#
570521956-009 01 SC BC/BS PROVIDER #
institution
Provider Business Practice Location Address Details
Address
4721 Sunset Blvd
City
Lexington
State
South Carolina
Zip
29072-9151
Phone Number
803-227-8007
Fax Number
803-996-3180
person
Provider Business Mailing Address Details
Address
P.o. Box 843384
City
Boston
State
Massachusetts
Zip
02284-3384
Phone Number
803-227-8007
Fax Number
803-996-3180
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
570521956 (South Carolina)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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