# MEDICAL CONSULTANTS OF LAKE CITY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Consultants of Lake City LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538927462
- **Authorized official:** DR. TONEY GRAHAM III MD (MD/OWNER)
- **Authorized official phone:** (843) 389-3685

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2024
- **Last updated:** 03/06/2024