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NPI Profile for PROVIDENCE PHYSICIAN PRACTICES LLC in COLUMBIA, SC.
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Physiological Laboratory, (Independent Physiological Lab) |
293D00000X | 47 | Independent Diagnostic Testing Facility (IDTF) |
| NPI Number | 1902264971 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/05/2016 | |
| Last updated | 02/05/2016 - About 10 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PROVIDENCE PHYSICIAN PRACTICES LLC
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| RALEIGH J BOULWARE, MD 7 MEDICAL PARK COLUMBIA, SC |
| RESPIRATORY DIAGNOSTICS LLC 115 ATRIUM WAY COLUMBIA, SC |
| KAIBERG, LLC 232 BENT HOLLY DR COLUMBIA, SC |
| JOHN W HAYNES, MD 508 HULON LANE WEST COLUMBIA, SC |
| LAYNE R CLEMENZ, MD 508 HULON LANE WEST COLUMBIA, SC |
| ROBERT B GARRIS, MD 2720 SUNSET BLVD WEST COLUMBIA, SC |
| DAVID N KNIGHT, MD 2720 SUNSET BLVD WEST COLUMBIA, SC |
| REBECCA T NEWELL, MD 2720 SUNSET BLVD. WEST COLUMBIA, SC |
| CHRISTOPHER T MCCARTY III, MD 2720 SUNSET BLVD WEST COLUMBIA, SC |
| SOUTH CAROLINA ONCOLOGY ASSOC PA 166 STONERIDGE DR COLUMBIA, SC |
PROVIDENCE PHYSICIAN PRACTICES LLC