Organization
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Active
Parent organization
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Other names
Riverside Surgical
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Authorized official
MELINDA SARVIS (EXECUTIVE VICE PRESIDENT)
(803) 791-2000
Entity
Organization
Contact information
Practice address
146 EAST HOSPITAL DR, SUITE 430, WEST COLUMBIA, SC 29169
(803) 791-2828
(803) 791-2824
Mailing address
PO BOX 896239, CHARLOTTE, NC 28289-6239
(803) 791-2828
(803) 791-2824
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB8351
RR MEDICARE
SC
05
—
GP3786
—
SC
Enumeration date
07/18/2006
Last updated
10/18/2018
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