PROVIDENCE FAMILY PRACTICE LLC NPI 1528066115

NPI Information

PROVIDENCE FAMILY PRACTICE LLC is a family medicine in Columbia, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PROVIDENCE FAMILY PRACTICE LLC NPI is 1528066115. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2750 LAUREL ST
SUITE 103
COLUMBIA, SC
ZIP 29204-023
Phone: (803) 254-5171
Fax: (803) 779-7403

The provider's authorized official is Frampton W Henderson .
The authorized official title is Managing Partner and has the following contact phone number (803) 254-5171.

The CLIA number assigned to this NPI record is 42D0249575 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/8/2005 and was last updated on 6/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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