Organization
LLOYD B. MANDEL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LLOYD BERNARD MANDEL MD (MD)
(843) 571-3111
Entity
Organization
Contact information
Practice address
4 LEICHESTER RD, CHARLESTON, SC 29407-3430
(843) 571-3111
Mailing address
PO BOX 61539, CHARLESTON, SC 29419-1539
(843) 571-3111
(843) 571-0690
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10054
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0504
—
SC
Enumeration date
02/26/2007
Last updated
08/22/2020
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