Individual
DR. LACIE E. EDMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3980 HIGHWAY 9 E STE 320, LITTLE RIVER, SC 29566
(843) 366-3715
(843) 366-3716
Mailing address
3980 HIGHWAY 9 E STE 320, LITTLE RIVER, SC 29566-8165
(843) 366-3715
(843) 366-3716
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
2013-01397
NC
207RG0100X
Gastroenterology Physician
Primary
81622
SC
Other
Enumeration date
07/10/2008
Last updated
02/11/2021
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