# LOWCOUNTRY INFECTIOUS DISEASES PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOWCOUNTRY INFECTIOUS DISEASES PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194303065
- **Legal business name:** LOWCOUNTRY INFECTIOUS DISEASES PA
- **Authorized official:** SHANNON R MCCOIN (CEO)
- **Authorized official phone:** (843) 212-8669

## Contact information

- **Practice address:** 1520 OLD TROLLEY RD STE 101, SUMMERVILLE, SC 29485-5292
- **Practice address phone:** (843) 402-0227
- **Mailing address:** 1938 CHARLIE HALL BLVD UNIT B, CHARLESTON, SC 29414-6099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2021
- **Last updated:** 03/31/2021
