Organization
LOWCOUNTRY SURGERY CENTER
Active
Other names
Roper West Ashley Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLISON SMITH (BUSINESS OFFICE DIRECTOR)
(843) 763-3763
Entity
Organization
Contact information
Practice address
18 FARMFIELD AVE, CHARLESTON, SC 29407-7704
(843) 763-3763
(843) 763-3881
Mailing address
18 FARMFIELD AVE, CHARLESTON, SC 29407-7704
(843) 763-3763
(843) 763-3881
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF-049
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410102
—
SC
01
—
490000838
RAILROAD MEDICARE
SC
Enumeration date
10/10/2006
Last updated
11/14/2007
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