PROVISION HEALTHCARE, LLC is a family nurse practitioner in Columbia, SC. PROVISION HEALTHCARE, LLC NPI is 1669968152. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1320 MAIN ST STE 300
COLUMBIA, SC
ZIP 29201-266
Phone: (803) 373-0063
The provider's authorized official is Lashonda S Tyler .
The authorized official title is Owner and has the following contact phone number (803) 302-8205.
The enumeration date for this NPI number is 7/8/2018 and was last updated on 7/8/2018.