Providence Physician Practices Llc
Specialty details in registry · Columbia, SC
At a glance
2435 Forest Dr, Columbia, SC 29204-2026
NPPES record updated Feb 22, 2017. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
2435 Forest DrColumbia, SC 29204-2026
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 2085R0202X
- Enumeration date
- Feb 5, 2016
- Record updated
- Feb 22, 2017
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
101YP2500X
Specialty details in registry
133V00000X
Family Medicine
207Q00000X
Specialty details in registry
207RI0200X
Psychiatry
2084P0800X
Specialty details in registry
2085R0202X · Primary
Specialty details in registry
208800000X
Physical Therapist
225100000X
Occupational Therapist
225X00000X
Nurse Practitioner
363L00000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2435 Forest DrColumbia, SC 29204-2026
- Phone
- (803) 256-5300
Mailing address
114 GATEWAY CORPORATE BLVDSTE 425
COLUMBIA, SC 292039740
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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