Organization
LAKE CITY FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORRIS EDWARD BROWN III M.D. (MEDICAL DIRECTOR)
(843) 374-8380
Entity
Organization
Contact information
Practice address
901 N MATTHEWS RD, LAKE CITY, SC 29560-7024
(843) 374-8380
(843) 374-5247
Mailing address
901 N MATTHEWS RD, LAKE CITY, SC 29560-7024
(843) 374-8380
(843) 374-5247
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
RHC175
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC175
—
SC
Enumeration date
01/15/2009
Last updated
01/15/2009
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