Organization
LEE COUNTY COUNCIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA DUBOSE (BILLING MANAGER)
(803) 483-5000
Entity
Organization
Contact information
Practice address
130 INDUSTRIAL BLVD, BISHOPVILLE, SC 29010-2037
(803) 483-5000
(803) 483-5001
Mailing address
PO BOX 927, BISHOPVILLE, SC 29010
(803) 483-5000
(803) 483-5001
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
121
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AB0214
—
SC
01
—
P00005851
RAILROAD
SC
Enumeration date
01/23/2006
Last updated
12/07/2015
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