# PROVIDENCE OCCUPATIONAL HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982654083
- **Authorized official:** JUDITH ANN KARAM (PRESIDENT, CEO)
- **Authorized official phone:** (803) 256-5313

## Contact information

- **Practice address:** 114 GATEWAY CORPORATE BLVD, SUITE 430, COLUMBIA, SC 29203-9740
- **Practice address phone:** (803) 865-4920
- **Practice address fax:** (803) 865-4925
- **Mailing address:** 114 GATEWAY CORPORATE BLVD, SUITE 430, COLUMBIA, SC 29203-9740
- **Mailing address phone:** (803) 865-4920
- **Mailing address fax:** (803) 865-4925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 08/22/2020