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 1417142662

Providence Orthopaedic Group LLC is an Orthopaedic Surgery Physician in Lexington, South Carolina. Registered with an NPI since 2007.

In the registry since
2007
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

104 Saluda Pointe Dr
Lexington, SC 29072
Phone: (803) 227-8000
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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 number1417142662
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sean McNally — Ceo · (803) 227-8152
Other names Moore Orthopaedic Clinic
NPI enumeratedSeptember 11, 2007
Last updated in NPPESOctober 22, 2010
Mailing addressPo Box 9592, Belfast, ME 04915-9592

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