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Providence Physician Practices, Llc
Urology Physician in Columbia, South Carolina
NPI 1659885754

Providence Physician Practices, Llc is a Urology Physician based in Brentwood, SC. Providence Physician Practices, Llc practices in Columbia, SC. The NPI Number for Providence Physician Practices, Llc is 1659885754 and holds a License No. (South Carolina).

The current practice location address for Providence Physician Practices, Llc is 114 Gateway Corporate Blvd Ste 440, Columbia, SC and can be reached out via phone at 803-365-8620 and via fax at 803-365-8629.

Location: 114 Gateway Corporate Blvd Ste 440, Columbia, SC, 37027-5098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659885754
Provider Name
Providence Physician Practices, Llc
Credential
Provider Entity Type
Organization
Address
114 Gateway Corporate Blvd Ste 440, Columbia, SC, 37027-5098
Phone Number
803-365-8620
Fax Number
803-365-8629
Provider Enumeration Date
11/28/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
114 Gateway Corporate Blvd Ste 440
City
Columbia
State
South Carolina
Zip
29203-9785
Phone Number
803-365-8620
Fax Number
803-365-8629
person
Provider Business Mailing Address Details
Address
114 Gateway Corporate Blvd Ste 440
City
Columbia
State
South Carolina
Zip
29203-9785
Phone Number
803-365-8620
Fax Number
803-365-8629
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
()
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
()
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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