Providence Orthopaedic Group
NPI #1285674572 in Lexington, South Carolina
Provider Information
- NPI Number
- 1285674572
- Entity Type
- Organization
- Organization Name
- Providence Orthopaedic Group
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Jun 7, 2006
- Last Updated
- Jun 29, 2010
Practice Location
- Address
- 4721 SUNSET BLVD
- Address 2
- SUITE A
- City
- Lexington
- State
- South Carolina
- ZIP Code
- 29072-9151
- Phone
- (803) 227-8007
Authorized Official
- Name
- MR. SEAN MCNALLY
- Title
- CEO
- Phone
- (803) 227-8152
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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