Organization
LOMAX AND JORDAN ENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R LOMAX MD (OWNER)
(843) 873-6873
Entity
Organization
Contact information
Practice address
208 E 2ND NORTH ST, SUMMERVILLE, SC 29483-6858
(843) 873-6873
(843) 871-7111
Mailing address
208 E 2ND NORTH ST, SUMMERVILLE, SC 29483-6858
(843) 873-6873
(843) 871-7111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2960
—
SC
Enumeration date
07/05/2007
Last updated
04/20/2008
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