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Organization

LOWCOUNTRY MEDICAL ASSOCIATES

Active
Other names
Plantation Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA C SHOEMAKER (COO)
(843) 937-8101
Entity
Organization

Contact information

Practice address
1871 SAVAGE RD, CHARLESTON, SC 29407-4726
(843) 766-6308
Mailing address
1871 SAVAGE RD, CHARLESTON, SC 29407-4726
(843) 766-6308

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
SC
332B00000X
Durable Medical Equipment & Medical Supplies
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DE2219
SC
05
GP1199
SC
Enumeration date
05/11/2006
Last updated
09/25/2008
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