# TRUESDALE MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOWCOUNTRY AIDS SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336627371
- **Legal business name:** LOWCOUNTRY AIDS SERVICES
- **Authorized official:** MR. BRADLEY D. CHILDS (CEO)
- **Authorized official phone:** (843) 747-2273

## Contact information

- **Practice address:** 5064 RIVERS AVE, NORTH CHARLESTON, SC 29406-6304
- **Practice address phone:** (843) 266-3870
- **Practice address fax:** (843) 225-7541
- **Mailing address:** 5064 RIVERS AVE, NORTH CHARLESTON, SC 29406-6304
- **Mailing address phone:** (843) 266-3870
- **Mailing address fax:** (843) 225-7541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 18613 | SC | Yes |
| 207RI0200X | Infectious Disease Physician | 18613 | SC | — |

## Other

- **Enumeration date:** 08/01/2018
- **Last updated:** 09/19/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP8664 | — | SC |