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Individual

DR. SUSAN KAYE LUCAS MCGINTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
701 GROVE RD STE 200, GREENVILLE, SC 29605-4210
(864) 455-8988
(864) 455-8981
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
84577
SC
2084P0804X
Child & Adolescent Psychiatry Physician
9400579
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
260032387
RAILROAD MEDICARE
NC
01
57108
BCBS NC
NC
05
845777
SC
05
8957108
NC
Enumeration date
08/29/2005
Last updated
06/08/2021
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