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

Organization Orthopaedic Surgery Physician · NPI 1528462470

Providence Orthopedic Group, LLC is an Orthopaedic Surgery Physician in Sumter, South Carolina. Registered with an NPI since 2014.

In the registry since
2014
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

100 N Sumter St
Sumter, SC 29150-4975
Phone: (803) 227-8000
Fax: (803) 227-8015
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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 number1528462470
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matt Frick — Avp, Outpatient Services · (803) 227-8104
Other names Moore Center For Orthopedics
NPI enumeratedOctober 21, 2014
Last updated in NPPESOctober 21, 2014
Mailing address104 Saluda Pointe Dr, Lexington, SC 29072-7295

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