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.
Identifier | Type | State | Issuer |
---|---|---|---|
DM0194 | 01 | SC | MEDICAID DME# |
PA0686 | 05 | SC | |
14979900001 | 01 | SC | MEDICARE DME# |
570521956-009 | 01 | SC | BC/BS PROVIDER # |
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