Orthopaedic Surgery
PROVIDENCE ORTHOPAEDIC GROUP LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1255308342 · enumerated 2006-03-07 · record updated 2010-10-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. SEAN MCNALLY, CEO · (803) 227-8152
Other names: MOORE ORTHOPAEDIC CLINIC
Addresses and phones
- Practice location 14 MEDICAL PARK RD, SUITE 200, COLUMBIA, SC, 29203-6877 (803) 227-8152 Fax (803) 227-8011 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 9592, BELFAST, ME, 04915-9592 (803) 227-8152 Fax (803) 227-8011 Google Maps Apple Maps OpenStreetMap
Specialties
- Orthopaedic Surgery 207X00000X · Primary · License 570521956 SC
In this directory
Locations and evidence
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Practice location
COLUMBIA, SC, 292036877
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.