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Organization

MEDICAL CONSULTANTS OF LAKE CITY LLC

Active
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Organization

MEDICAL CONSULTANTS OF LAKE CITY LLC

Active
Other names
Medical Consultants of Lake City LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TONEY GRAHAM III MD (MD/OWNER)
(843) 389-3685
Entity
Organization

Contact information

Practice address
1278 MOORE ST, LAKE CITY, SC 29560-4601
(843) 389-3685
(843) 210-3026
Mailing address
56 GENESIS DR, LAKE CITY, SC 29560-5531
(843) 389-3685

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—

Other

Enumeration date
03/06/2024
Last updated
03/06/2024
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