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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 # | 1902264971 |
| LBN Legal business name | PROVIDENCE PHYSICIAN PRACTICES LLC |
| Authorized official | JESS JUDY - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/05/2016 |
| Last updated | 02/05/2016 - About 10 years ago |
| Identifiers | n/a |
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| RALEIGH J BOULWARE, MD 7 MEDICAL PARK COLUMBIA, SC |
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| 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