HomeNPI Verification

NPI Verification

National Provider Identifier: 1659921740

Providence Physician Practices LLC

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (9)

Optometrist

Code: 152W00000X

Family Medicine

Code: 207Q00000X

Internal Medicine, Cardiovascular Disease

Code: 207RC0000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Obstetrics & Gynecology

Code: 207V00000X

Ophthalmology

Code: 207W00000X

Pediatrics

Code: 208000000X

Nurse Practitioner, Gerontology

Code: 363LG0600X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

216 E MARION ST

KERSHAW, SC 290671442

Phone: 803-475-3350

NPI Enumeration Date

September 19, 2019

NPI Number

1659921740

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry