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Organization
LOWCOUNTRY MEDICAL ASSOCIATES
Active
Organization
LOWCOUNTRY MEDICAL ASSOCIATES
Active
Other names
Ancillary Services-Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA C SHOEMAKER (COO)
(843) 937-8101
Entity
Organization
Contact information
Practice address
180 WINGO WAY, SUITE 105, MT PLEASANT, SC 29464
(843) 266-3540
Mailing address
180 WINGO WAY, SUITE 105, MT PLEASANT, SC 29464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
SC
207R00000X
Internal Medicine Physician
—
SC
208000000X
Pediatrics Physician
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2939
—
SC
Enumeration date
03/29/2007
Last updated
09/15/2008
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