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Providence Family Practice Llc
Family Medicine Physician in Columbia, South Carolina
NPI 1528066115

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.

Location: 2750 Laurel St, Columbia, SC, 29204-2038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528066115
Provider Name
Providence Family Practice Llc
Credential
Provider Entity Type
Organization
Address
2750 Laurel St, Columbia, SC, 29204-2038
Phone Number
803-254-5171
Fax Number
803-779-7403
Provider Enumeration Date
07/08/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP2164 05 SC
CM5571 01 SC RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2750 Laurel St
City
Columbia
State
South Carolina
Zip
29204-2023
Phone Number
803-254-5171
Fax Number
803-779-7403
person
Provider Business Mailing Address Details
Address
2750 Laurel St
City
Columbia
State
South Carolina
Zip
29204-2023
Phone Number
803-254-5171
Fax Number
803-779-7403
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
8387 (South Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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