Providence Physician Practices LLC
NPI #1659921740 in Kershaw, South Carolina
Provider Information
- NPI Number
- 1659921740
- Entity Type
- Organization
- Organization Name
- Providence Physician Practices LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Sep 19, 2019
- Last Updated
- Dec 9, 2019
Practice Location
- Address
- 216 E MARION ST
- City
- Kershaw
- State
- South Carolina
- ZIP Code
- 29067-1442
- Phone
- (803) 475-3350
Authorized Official
- Name
- KATHY TEAGUE
- Title
- CORPORATE SECRETARY
- Phone
- (615) 920-7646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
| Family Medicine |
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
| Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism |
| Obstetrics & Gynecology |
| Ophthalmology |
| Pediatrics |
| Nurse Practitioner - Gerontology — Gerontology |
| Internal Medicine |
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