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Organization
LOWCOUNTRY NEUROPATHY OF HILTON HEAD, LLC
Active
Organization
LOWCOUNTRY NEUROPATHY OF HILTON HEAD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MARK LUCKIE D.C. (PARTNER)
(843) 817-7404
Entity
Organization
Contact information
Practice address
55A SHERIDAN PARK CIR, BLUFFTON, SC 29910-6025
(843) 817-7404
(843) 529-0234
Mailing address
4222 FLYNN DR, NORTH CHARLESTON, SC 29405-6784
(843) 817-7404
(843) 529-0234
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23765
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427030212
PROVIDER NPI
SC
Enumeration date
08/16/2012
Last updated
09/30/2012
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