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Organization
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Active
Organization
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Active
Parent organization
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Other names
Lexington Pediatric Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Authorized official
MELINDA P KRUZNER (EXECUTIVE VICE PRESIDENT)
(803) 791-2000
Entity
Organization
Contact information
Practice address
811 WEST MAIN STREET, STE 204, LEXINGTON, SC 29072
(803) 359-8855
(803) 359-1257
Mailing address
470 HULON LN, ATTN: VP REVENUE CYCLE, WEST COLUMBIA, SC 29169
(803) 359-8855
(803) 359-1257
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0991
—
SC
Enumeration date
07/15/2006
Last updated
06/25/2020
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