Providence Orthopaedic Group, LLC
NPI #1033374244 in Irmo, South Carolina
Provider Information
- NPI Number
- 1033374244
- Entity Type
- Organization
- Organization Name
- Providence Orthopaedic Group, LLC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Jul 28, 2008
- Last Updated
- Apr 26, 2010
Practice Location
- Address
- ONE WELLNESS BOULEVARD
- Address 2
- SUITE 204
- City
- Irmo
- State
- South Carolina
- ZIP Code
- 29063
- Phone
- (803) 227-8004
Authorized Official
- Name
- SEAN MCNALLY
- Title
- CEO
- Phone
- (803) 227-8152
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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