Moore Orthopaedic Clinic, P.A.

LBN: Providence Orthopaedic Group, Llc
Moore Orthopaedic Clinic, P.A. is an health care organization with primary practice located at One Wellness Boulevard Suite 204, Irmo SC 29063. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Providence Orthopaedic Group, Llc can be contacted via phone (803) 227-8004, or through Mcnally, Sean via phone (803) 227-8152.

Contact Information

Primary practice address
One Wellness Boulevard Suite 204 Irmo SC 29063
Phone: (803) 227-8004
Fax: (803) 781-7334
Website:
Map and Directions
Authorized official contact:
Name: Mcnally, Sean
Phone: (803) 227-8152

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1033374244
LBN Legal business name Providence Orthopaedic Group, Llc
DBA Doing business as Moore Orthopaedic Clinic, P.A.
Authorized official Mcnally, Sean
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2008
Last updated Apr 26th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033374244 NPPES
South Carolina Other 570521956 TAX ID#

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