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Organization

LOWCOUNTRY ORTHOPAEDICS ASSOCIATES PA

Active
Other names
Lowcountry Orthopaedics & Sports Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
MARILYN SIZEMORE (FINANCIAL DIRECTOR)
(843) 266-4873
Entity
Organization

Contact information

Practice address
2880 TRICOM ST, N CHARLESTON, SC 29406-9171
(843) 797-5050
(843) 824-5991
Mailing address
2880 TRICOM ST, N CHARLESTON, SC 29406-9171
(843) 797-5050
(843) 824-5991

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
199702649NC
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20076508
SELECT HEALTH DME #
SC
01
461555
MEDICAID DME
SC
Enumeration date
02/12/2009
Last updated
08/31/2009
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