# LOWCOUNTRY AMBULATORY CENTER, LLC

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

## Provider details

- **NPI number:** 1639433956
- **Authorized official:** MR. ERIC E RADABAUGH MBA (CEO)
- **Authorized official phone:** (843) 766-4070

## Contact information

- **Practice address:** 641 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7165
- **Practice address phone:** (843) 766-4070
- **Practice address fax:** (843) 766-0633
- **Mailing address:** 641 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7165
- **Mailing address phone:** (843) 766-4070
- **Mailing address fax:** (843) 766-0633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | SC-11-48 | SC | Yes |

## Other

- **Enumeration date:** 07/02/2012
- **Last updated:** 07/02/2012