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Organization
DR. LINDABERRY AT CAROLINA FOREST, PC
Active
Organization
DR. LINDABERRY AT CAROLINA FOREST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY SAMUEL LINDABERRY D.O. (OWNER)
(843) 903-9993
Entity
Organization
Contact information
Practice address
108 FINNEGAN CT, MYRTLE BEACH, SC 29579-4205
(843) 903-9993
(843) 903-3356
Mailing address
108 FINNEGAN CT, MYRTLE BEACH, SC 29579-4205
(843) 903-9993
(843) 903-3356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
712
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4245
—
SC
Enumeration date
08/11/2006
Last updated
11/01/2013
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