# SOUTHERN MEDICAL MANAGEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SouthernMED Pediatrics Hillcrest, SouthernMED Pediatrics Lake Murray, SouthernMED Pediatrics Fort Mill, SouthernMED Pediatrics South Lake, SouthernMED Pediatrics Northeast Columbia, SouthernMED Counseling, SouthernMED Pediatrics Batesburg Leesville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114196557
- **Authorized official:** DR. R. KYLE GUYTON M.D. (PHYSICIAN)
- **Authorized official phone:** (803) 520-5800

## Contact information

- **Practice address:** 424 OLD CHEROKEE RD, LEXINGTON, SC 29072-6972
- **Practice address phone:** (803) 520-9380
- **Practice address fax:** (803) 520-9380
- **Mailing address:** 2214 OLD CHEROKEE RD, LEXINGTON, SC 29072-9725
- **Mailing address phone:** (803) 520-9380
- **Mailing address fax:** (803) 520-5801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2008
- **Last updated:** 10/04/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP4862 | — | SC |