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

Providence Professional Services LLC

Organization Emergency Medicine Physician · NPI 1659818599

Providence Professional Services LLC is an Emergency Medicine Physician in Columbia, South Carolina. Registered with an NPI since 2017.

In the registry since
2017
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

2435 Forest Dr
Columbia, SC 29204-2026
Phone: (615) 920-7514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1659818599
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Miller — Director · (615) 920-7514
NPI enumeratedJanuary 30, 2017
Last updated in NPPESJanuary 30, 2017
Mailing address330 Seven Springs Way, Brentwood, TN 37027-5098

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