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Organization

LAKESIDE FAMILY MEDICINE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELODY FRANKS MD (MD)
(864) 224-4003
Entity
Organization

Contact information

Practice address
4120 HIGHWAY 24, ANDERSON, SC 29626-5321
(864) 224-4003
(864) 224-4999
Mailing address
4120 HIGHWAY 24, ANDERSON, SC 29626-5321
(864) 224-4003
(864) 224-4999

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP2512
SC
Enumeration date
05/09/2006
Last updated
11/06/2008
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