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

Providence Orthopaedic Group LLC

Organization Orthopaedic Surgery Physician · NPI 1255308342

Providence Orthopaedic Group LLC is an Orthopaedic Surgery Physician in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14 Medical Park Rd Ste 200
Columbia, SC 29203-6877
Phone: (803) 227-8152
Fax: (803) 227-8011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 570521956 (SC)

Record details

NPI number1255308342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sean McNally — Ceo · (803) 227-8152
Other names Moore Orthopaedic Clinic
NPI enumeratedMarch 7, 2006
Last updated in NPPESOctober 22, 2010
Mailing addressPo Box 9592, Belfast, ME 04915-9592

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