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Organization
LOWCOUNTRY INFECTIOUS DISEASES PA
Active
Organization
LOWCOUNTRY INFECTIOUS DISEASES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON R MCCOIN (CEO)
(843) 212-8669
Entity
Organization
Contact information
Practice address
1938 CHARLIE HALL BLVD UNIT B, CHARLESTON, SC 29414-6099
(843) 402-0227
(840) 402-0232
Mailing address
1938 CHARLIE HALL BLVD UNIT B, CHARLESTON, SC 29414-6099
(843) 402-0227
(840) 402-0232
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1016
—
SC
Enumeration date
05/18/2006
Last updated
05/22/2015
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