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PROVIDENCE PHYSICIAN PRACTICES LLC

Physicians - Surgery Plastic and Reconstructive Surgery

Columbia, South Carolina

Provider NPI: 1689034548

Organization Information:
Organization Name:  PROVIDENCE PHYSICIAN PRACTICES LLC


Practice Location:
1655 BERNARDIN AVE STE 110 COLUMBIA, SC 29204 US
Tel: 803-409-7130  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N208200000XPhysicians
Plastic Surgery
N2086S0122XPhysicians
Surgery
Y208600000XPhysicians
Surgery





RECONSTRUCTIVE SURGERY JOBS SC - Page 1



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