Lomax And Jordan Ent
Specialist in Summerville, SC. Organization (NPI-2).
NPI number1164620779
StatusActive
Last updated in NPPESApr 20, 2008
Details
- NPI
- 1164620779
- Entity type
- Organization (NPI-2)
- Legal business name
- Lomax And Jordan Ent
- Organization subpart
- No
- Enumeration date
- Jul 5, 2007
- Last updated
- Apr 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
208 E 2nd North StSummerville, SC 29483-6858
Phone 843-873-6873 · Fax 843-871-7111
Mailing address
208 E 2nd North StSummerville, SC 29483-6858
Phone 843-873-6873 · Fax 843-871-7111
Authorized official
William R Lomax
Owner
8438736873
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