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Organization
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Active
Organization
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Active
Parent organization
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Other names
Dr PD Bullard Jr MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Authorized official
MELINDA P KRUZNER (SR. VP &CFO)
(803) 791-2000
Entity
Organization
Contact information
Practice address
2728 SUNSET BLVD, SUITE 310, WEST COLUMBIA, SC 29169
(803) 936-8080
(803) 936-8079
Mailing address
2728 SUNSET BLVD, SUITE 310, WEST COLUMBIA, SC 29169
(803) 936-8080
(803) 936-8079
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP2537
RR MEDICARE
SC
05
—
GP1684
—
SC
Enumeration date
07/18/2006
Last updated
10/29/2012
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