Individual
DR. JAMES LIPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
418 FOLLY RD STE A, CHARLESTON, SC 29412-2625
(843) 795-5362
Mailing address
1818 HENDERSON ST, COLUMBIA, SC 29201-2619
(803) 758-2600
(803) 253-8896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15067
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150678
—
SC
01
—
SC0365A634
MEDICARE PTAN
SC
Enumeration date
06/15/2006
Last updated
05/02/2023
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