Organization
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Active
Parent organization
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Other names
Southern Surgical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Authorized official
MELINDA SARVIS (EXECUTIVE VP)
(803) 791-2000
Entity
Organization
Contact information
Practice address
146 EAST HOSPITAL DRIVE, STE 310, WEST COLUMBIA, SC 29169
(803) 796-8901
(803) 796-4217
Mailing address
PO BOX 896239, CHARLOTTE, NC 28289-6239
(803) 796-8901
(803) 796-4217
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB4459
RR MEDICARE
—
05
—
GP3877
—
SC
Enumeration date
07/18/2006
Last updated
10/18/2018
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