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Individual

SPENCER JAMES LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-5976
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8207
(843) 792-5976

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
X
SC

Other

Enumeration date
05/03/2023
Last updated
05/03/2023
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