Moore Orthopaedic Clinic

LBN: Providence Orthopaedic Group Llc
Moore Orthopaedic Clinic is an health care organization with primary practice located at 104 Saluda Pointe Drive , Lexington SC 29072. 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) 227-8000, or through Mcnally, Sean via phone (803) 227-8152.

Contact Information

Primary practice address
104 Saluda Pointe Drive Lexington SC 29072
Phone: (803) 227-8000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcnally, Sean Occupational Therapist (OT)
Phone: (803) 227-8152

Health care specialties

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

Profile Details

NPI number 1417142662
LBN Legal business name Providence Orthopaedic Group Llc
DBA Doing business as Moore Orthopaedic Clinic
Authorized official Mcnally, Sean Occupational Therapist (OT)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2007
Last updated Oct 22nd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417142662 NPPES
South Carolina MEDICAID PA0686

Popular Providers