Lowcountry Medical Associates
Internal Medicine in Moncks Corner, SC. Organization (NPI-2).
NPI number1790735975
StatusActive
Last updated in NPPESSep 15, 2008
Details
- NPI
- 1790735975
- Entity type
- Organization (NPI-2)
- Legal business name
- Lowcountry Medical Associates
- Organization subpart
- No
- Enumeration date
- May 11, 2006
- Last updated
- Sep 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | SC | Yes |
| 208000000X | Pediatrics | – | SC |
Other names
- Moncks Corner Primary Care (Doing Business As)
Practice location
730 Stoney Landing RdSuite 200
Moncks Corner, SC 29461-2948
Phone 843-761-6556
Mailing address
730 Stoney Landing RdSuite 200
Moncks Corner, SC 29461-2948
Phone 843-761-6556
Authorized official
Linda C Shoemaker
Coo
8439378101
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