PROVIDENCE PHYSICIAN PRACTICES, LLC is an urology in Columbia, SC. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. PROVIDENCE PHYSICIAN PRACTICES, LLC NPI is 1659885754. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Urology Specialists.
The provider's business location address is:
114 GATEWAY CORPORATE BLVD STE 440
COLUMBIA, SC
ZIP 29203-785
Phone: (803) 365-8620
Fax: (803) 365-8629
The provider's authorized official is Sara L Miller .
The authorized official title is Director and has the following contact phone number (615) 920-7514.
The enumeration date for this NPI number is 11/28/2017 and was last updated on 12/17/2018.