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

Providence Physician Practices, LLC

Organization Radiation Oncology Physician · NPI 1659885754

Providence Physician Practices, LLC is a Radiation Oncology Physician in Columbia, South Carolina. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
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

114 Gateway Corporate Blvd Ste 440
Columbia, SC 29203-9785
Phone: (803) 365-8620
Fax: (803) 365-8629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X
Radiation Oncology Physician Taxonomy 2085R0001X

Record details

NPI number1659885754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Miller — Director · (615) 920-7514
Other names Providence Urology Specialists
NPI enumeratedNovember 28, 2017
Last updated in NPPESDecember 17, 2018
Mailing address330 Seven Springs Way, Brentwood, TN 37027-5098

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