# LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
- **Other names:** Lexington Urology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356810626
- **Legal business name:** LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
- **Authorized official:** TIFFANY AYERS (CREDENTIALING MANAGER)
- **Authorized official phone:** (803) 935-8292

## Contact information

- **Practice address:** 222 EAST MEDICAL LANE, SUITE 101, WEST COLUMBIA, SC 29169
- **Practice address phone:** (803) 739-3660
- **Practice address fax:** (803) 739-3663
- **Mailing address:** 470 HULON LANE, ATTN: VP - REVENUE CYCLE, WEST COLUMBIA, SC 29169
- **Mailing address phone:** (803) 739-3660
- **Mailing address fax:** (803) 739-3663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2018
- **Last updated:** 05/22/2019