Individual
DR. DAVID GRICE LUCAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 ALBEMARLE RD, CHARLESTON, SC 29407-7540
(843) 723-6426
(843) 722-2193
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21190
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010553395
TAX ID
SC
01
—
1003947490
GROUP NPI
SC
05
—
211906
—
SC
05
—
GP3374
—
SC
Enumeration date
05/04/2006
Last updated
05/19/2025
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