# LOWCOUNTRY ENDOCRINE & DIABETES ASSOCIATES, PA

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

## Provider details

- **NPI number:** 1538272703
- **Authorized official:** KIMBERLY B PUGH MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (843) 805-5918

## Contact information

- **Practice address:** 125 DOUGHTY ST, SUITE 530, CHARLESTON, SC 29403-5736
- **Practice address phone:** (843) 805-5918
- **Mailing address:** 125 DOUGHTY ST STE 530, CHARLESTON, SC 29403-5744
- **Mailing address phone:** (843) 805-5918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 16440 | SC | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 05/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 164404 | — | SC |