Organization
LOWCOUNTRY AMBULATORY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (OFFICER/AUTHORIZED OFFICIAL)
(214) 213-0732
Entity
Organization
Contact information
Practice address
1844 WALLACE SCHOOL RD, CHARLESTON, SC 29407-4822
(843) 766-4070
(843) 766-0633
Mailing address
1844 WALLACE SCHOOL RD, CHARLESTON, SC 29407-4822
(843) 556-2545
(843) 518-6551
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
SC-11-48
SC
Other
Enumeration date
07/08/2013
Last updated
09/05/2024
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