Organization
HARDEEVILLE MEDICAL GROUP, LLC
Active
Other names
Medical Associates of the Lowcountry Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
(404) 265-5009
Entity
Organization
Contact information
Practice address
1010 MEDICAL CENTER DR, SUITE 210, HARDEEVILLE, SC 29927-3447
(843) 645-8220
(843) 645-8221
Mailing address
PO BOX 741905, ATLANTA, GA 30374-1905
(843) 645-8220
(843) 645-8221
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
02/02/2016
Last updated
03/15/2017
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