Providence Physician Practices LLC
Providence Physician Practices LLC is an Optometrist in Kershaw, South Carolina. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 9
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
216 E Marion StKershaw, SC 29067-1442
Phone: (803) 475-3350
Fax: (803) 475-5360
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|---|
| Optometrist | Taxonomy 152W00000X |
| Family Medicine Physician | Taxonomy 207Q00000X |
| Cardiovascular Disease Physician | Taxonomy 207RC0000X |
| Endocrinology, Diabetes & Metabolism Physician | Taxonomy 207RE0101X |
| Obstetrics & Gynecology Physician | Taxonomy 207V00000X |
| Ophthalmology Physician | Taxonomy 207W00000X |
| Pediatrics Physician | Taxonomy 208000000X |
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X |
Record details
| NPI number | 1659921740 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kathy Teague — Corporate Secretary · (615) 920-7646 |
| NPI enumerated | September 19, 2019 |
| Last updated in NPPES | December 9, 2019 |
| Certification date | December 9, 2019 |
| Mailing address | 330 Seven Springs Way, Brentwood, TN 37027-5098 |
Other providers in Kershaw
-
Drs Kelley & McDowell PA
112 E Hilton St, Kershaw, SC 29067 · (803) 475-6075
-
James Jefferson McDowell Jr., OD
112 E Hilton St, Kershaw, SC 29067 · (803) 475-6075