Providence Orthopedic Group, LLC
NPI #1467875054 in Irmo, South Carolina
Provider Information
- NPI Number
- 1467875054
- Entity Type
- Organization
- Organization Name
- Providence Orthopedic Group, LLC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Feb 3, 2014
- Last Updated
- Feb 3, 2014
Practice Location
- Address
- 7936 BROAD RIVER RD
- City
- Irmo
- State
- South Carolina
- ZIP Code
- 29063-2355
- Phone
- (803) 227-8000
Authorized Official
- Name
- MR. MATT FRICK
- Title
- AVP, OUTPATIENT SERVICES
- Phone
- (803) 227-8104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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