Providence Physician Practices Llc

LBN: Providence Physician Practices Llc
Providence Physician Practices Llc is an health care organization with primary practice located at 216 E Marion St , Kershaw SC 29067-1442. The organization recently has 9 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Providence Physician Practices Llc can be contacted via phone (803) 475-3350, or through Teague, Kathy via phone (615) 920-7646.

Contact Information

Primary practice address
216 E Marion St Kershaw SC 29067-1442
Phone: (803) 475-3350
Fax: (803) 475-5360
Website:
Map and Directions
Authorized official contact:
Name: Teague, Kathy
Phone: (615) 920-7646

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X

Profile Details

NPI number 1659921740
LBN Legal business name Providence Physician Practices Llc
DBA Doing business as
Authorized official Teague, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2019
Last updated Dec 9th, 2019 - about 6 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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