Providence Surgical Associates

LBN: Providence Physician Practices Llc
Providence Surgical Associates is an health care organization with primary practice located at 1655 Bernardin Ave Ste 110, Columbia SC 29204-2039. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Providence Physician Practices Llc can be contacted via phone (803) 409-7130, or through Judy, Jess via phone (615) 920-7000.

Contact Information

Primary practice address
1655 Bernardin Ave Ste 110 Columbia SC 29204-2039
Phone: (803) 409-7130
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Judy, Jess
Phone: (615) 920-7000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X

Profile Details

NPI number 1689034548
LBN Legal business name Providence Physician Practices Llc
DBA Doing business as Providence Surgical Associates
Authorized official Judy, Jess
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2016
Last updated Feb 22nd, 2017 - about 9 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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