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Organization

LOWCOUNTRY NEPHROLOGY ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATAPADI SURENDRA SHENOY M.D. (PRESIDENT)
(843) 524-2002
Entity
Organization

Contact information

Practice address
1859 NORTH PARIS AVENUE, SUITE 212, PORT ROYAL, SC 29935-2047
(843) 524-2002
(843) 524-3522
Mailing address
1859 NORTH PARIS AVENUE, SUITE 212, PORT ROYAL, SC 29935-2047
(843) 524-2002
(843) 524-3522

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11315
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PA4780
SC
Enumeration date
08/07/2006
Last updated
06/02/2010
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