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Organization

LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.

Active
Parent organization
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Other names
Lexington Urology
Organization subpart
Yes

Provider details

NPI number
Legal business name
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Authorized official
TIFFANY AYERS (CREDENTIALING MANAGER)
(803) 935-8292
Entity
Organization

Contact information

Practice address
222 EAST MEDICAL LANE, SUITE 101, WEST COLUMBIA, SC 29169
(803) 739-3660
(803) 739-3663
Mailing address
470 HULON LANE, ATTN: VP - REVENUE CYCLE, WEST COLUMBIA, SC 29169
(803) 739-3660
(803) 739-3663

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
11/16/2018
Last updated
05/22/2019
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