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Organization
LOWCOUNTRY INFECTIOUS DISEASES PA
Active
Organization
LOWCOUNTRY INFECTIOUS DISEASES PA
Active
Parent organization
LOWCOUNTRY INFECTIOUS DISEASES PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOWCOUNTRY INFECTIOUS DISEASES PA
Authorized official
SHANNON R MCCOIN (CEO)
(843) 212-8669
Entity
Organization
Contact information
Practice address
1520 OLD TROLLEY RD STE 101, SUMMERVILLE, SC 29485-5292
(843) 402-0227
Mailing address
1938 CHARLIE HALL BLVD UNIT B, CHARLESTON, SC 29414-6099
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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