# LOWCOUNTRY INFECTIOUS DISEASES PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194778548
- **Authorized official:** SHANNON R MCCOIN (CEO)
- **Authorized official phone:** (843) 212-8669

## Contact information

- **Practice address:** 1938 CHARLIE HALL BLVD UNIT B, CHARLESTON, SC 29414-6099
- **Practice address phone:** (843) 402-0227
- **Practice address fax:** (840) 402-0232
- **Mailing address:** 1938 CHARLIE HALL BLVD UNIT B, CHARLESTON, SC 29414-6099
- **Mailing address phone:** (843) 402-0227
- **Mailing address fax:** (840) 402-0232

## Taxonomy

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

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 05/22/2015