Organization
TRUESDALE MEDICAL CENTER LLC
Active
Parent organization
LOWCOUNTRY AIDS SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOWCOUNTRY AIDS SERVICES
Authorized official
MR. BRADLEY D. CHILDS (CEO)
(843) 747-2273
Entity
Organization
Contact information
Practice address
5064 RIVERS AVE, NORTH CHARLESTON, SC 29406-6304
(843) 266-3870
(843) 225-7541
Mailing address
5064 RIVERS AVE, NORTH CHARLESTON, SC 29406-6304
(843) 266-3870
(843) 225-7541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18613
SC
207RI0200X
Infectious Disease Physician
18613
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP8664
—
SC
Enumeration date
08/01/2018
Last updated
09/19/2023
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