Providence Orthopedic Group, LLC
NPI #1528462470 in Sumter, South Carolina
Provider Information
- NPI Number
- 1528462470
- Entity Type
- Organization
- Organization Name
- Providence Orthopedic Group, LLC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Oct 21, 2014
- Last Updated
- Oct 21, 2014
Practice Location
- Address
- 100 N SUMTER ST
- City
- Sumter
- State
- South Carolina
- ZIP Code
- 29150-4975
- Phone
- (803) 227-8000
Authorized Official
- Name
- MATT FRICK
- Title
- AVP, OUTPATIENT SERVICES
- Phone
- (803) 227-8104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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|---|---|
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