Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Orthopaedic Group, LLC

Organization Orthopaedic Surgery Physician · NPI 1033374244

Providence Orthopaedic Group, LLC is an Orthopaedic Surgery Physician in Irmo, South Carolina. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Partly verified

Some contact details are missing from the federal record.

One Wellness Blvd Ste 204
Irmo, SC 29063
Phone: (803) 227-8004
Fax: (803) 781-7334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1033374244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sean McNally — Ceo · (803) 227-8152
Other names Moore Orthopaedic Clinic, P.A.
NPI enumeratedJuly 28, 2008
Last updated in NPPESApril 26, 2010
Mailing addressPo Box 843384, Boston, MA 02284-3384

Other providers in Irmo