Organization
CHARLESTON THYROID & ENDOCRINE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISSA C LARA (CEO)
(843) 412-1590
Entity
Organization
Contact information
Practice address
418 FOLLY RD, SUITE A, CHARLESTON, SC 29412-2625
(843) 789-6364
Mailing address
418 FOLLY RD, SUITE A, CHARLESTON, SC 29412-2625
(843) 789-6364
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
36116
SC
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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