Organization
DR. LINDABERRY AT CAROLINA FOREST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY SAMUEL LINDABERRY D.O. (OWNER)
(843) 903-9993
Entity
Organization
Contact information
Practice address
108 FINNEGAN CT, MYRTLE BEACH, SC 29579-4205
(843) 903-9993
(843) 903-3356
Mailing address
108 FINNEGAN CT, MYRTLE BEACH, SC 29579-4205
(843) 903-9993
(843) 903-3356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
712
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4245
—
SC
Enumeration date
08/11/2006
Last updated
11/01/2013
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