# LIGHTHOUSE ANESTHESIOLOGY OF SOUTH CAROLINA, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIGHTHOUSE ANESTHESIOLOGY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043493810
- **Legal business name:** LIGHTHOUSE ANESTHESIOLOGY
- **Authorized official:** JOHN J DOYLE MD (PRESIDENT)
- **Authorized official phone:** (904) 819-4478

## Contact information

- **Practice address:** 420 W WESMARK BLVD, SUMTER, SC 29150-1983
- **Practice address phone:** (803) 905-5590
- **Practice address fax:** (770) 237-1124
- **Mailing address:** PO BOX 3012, ST AUGUSTINE, FL 32085-3012
- **Mailing address phone:** (866) 480-2246
- **Mailing address fax:** (770) 237-1124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/14/2007
- **Last updated:** 12/14/2007