Organization
PROVIDENCE HEALTH NETWORK, LLC
Active
Parent organization
SISTERS OF CHARITY PROVIDENCE HOSPITALS
Other names
Columbia Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
SISTERS OF CHARITY PROVIDENCE HOSPITALS
Authorized official
MS. ANGELA HAITHCOCK (PROJECT MANAGER)
(803) 865-4780
Entity
Organization
Contact information
Practice address
2750 LAUREL ST, SUITE 303, COLUMBIA, SC 29204-2038
(803) 252-1953
(803) 256-0138
Mailing address
114 GATEWAY CORPORATE BLVD, SUITE 425, COLUMBIA, SC 29203-9740
(803) 865-4780
(803) 865-4932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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