Providence Orthopaedic Group LLC
NPI #1417142662 in Lexington, South Carolina
Provider Information
- NPI Number
- 1417142662
- Entity Type
- Organization
- Organization Name
- Providence Orthopaedic Group LLC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Sep 11, 2007
- Last Updated
- Oct 22, 2010
Practice Location
- Address
- 104 SALUDA POINTE DRIVE
- City
- Lexington
- State
- South Carolina
- ZIP Code
- 29072
- Phone
- (803) 227-8000
Authorized Official
- Name
- MR. SEAN MCNALLY, OT
- Title
- CEO
- Phone
- (803) 227-8152
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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