Organization
SOUTHERN MEDICAL MANAGEMENT, LLC
Active
Other names
SouthernMED Pediatrics Hillcrest, SouthernMED Pediatrics Lake Murray, SouthernMED Pediatrics Fort Mill, SouthernMED Pediatrics South Lake, SouthernMED Pediatrics Northeast Columbia, SouthernMED Counseling, SouthernMED Pediatrics Batesburg Leesville
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R. KYLE GUYTON M.D. (PHYSICIAN)
(803) 520-5800
Entity
Organization
Contact information
Practice address
424 OLD CHEROKEE RD, LEXINGTON, SC 29072-6972
(803) 520-9380
(803) 520-9380
Mailing address
2214 OLD CHEROKEE RD, LEXINGTON, SC 29072-9725
(803) 520-9380
(803) 520-5801
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4862
—
SC
Enumeration date
02/28/2008
Last updated
10/04/2019
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