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Individual

DR. LANCE AUSTEN SIMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
841 ROBERTSON BLVD, WALTERBORO, SC 29488-3082
(843) 549-1800
(843) 549-1818
Mailing address
841 ROBERTSON BLVD, WALTERBORO, SC 29488-3082
(843) 549-1800
(843) 549-1818

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
584
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00714163
RAILROAD MEDICARE
SC
05
PD5845
SC
Enumeration date
01/07/2008
Last updated
04/20/2023
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