Organization
LOWCOUNTRY THORACIC SURGERY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DEROSIMO MD (OWNER/ PROVIDER)
(843) 722-3400
Entity
Organization
Contact information
Practice address
1300 HOSPITAL DR STE 360, MOUNT PLEASANT, SC 29464-7776
(843) 722-3400
(843) 723-7398
Mailing address
1300 HOSPITAL DR STE 360, MOUNT PLEASANT, SC 29464-7776
(843) 722-3400
(843) 723-7398
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
08/31/2010
Last updated
09/01/2010
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