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Organization

PROVIDENCE GROUP PRACTICES II, LLC

Active
Other names
Providence Cardiovascular Consultants
Organization subpart
No

Provider details

NPI number
Authorized official
SARA MILLER (DIRECTOR)
(615) 920-7514
Entity
Organization

Contact information

Practice address
1330 HAILE ST, CAMDEN, SC 29020-3002
(803) 434-6771
(803) 424-1900
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
16159207780

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
Primary
207RC0001X
Clinical Cardiac Electrophysiology Physician
207RI0011X
Interventional Cardiology Physician
363L00000X
Nurse Practitioner

Other

Enumeration date
09/21/2017
Last updated
09/25/2017
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