Providence Family Practice Llc is a Family Medicine Physician based in Columbia, SC. Providence Family Practice Llc practices in Columbia, SC. The NPI Number for Providence Family Practice Llc is 1528066115 and holds a License No. 8387 (South Carolina).
The current practice location address for Providence Family Practice Llc is 2750 Laurel St, Columbia, SC and can be reached out via phone at 803-254-5171 and via fax at 803-779-7403. You can also correspond with Providence Family Practice Llc through the mailing address at 2750 LAUREL ST, COLUMBIA, SC - 29204-2038 (mailing address contact number: 803-254-5171).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP2164 | 05 | SC | |
| CM5571 | 01 | SC | RAILROAD MEDICARE |
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