Organization
FORT SUMTER SURGICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM H LYNCH M.D. (PRESIDENT/OWNER)
(843) 971-4673
Entity
Organization
Contact information
Practice address
1230 HOSPITAL DR, SUITE A, MT PLEASANT, SC 29464-3251
(843) 971-4673
(843) 971-3355
Mailing address
1230 HOSPITAL DR, SUITE A, MT PLEASANT, SC 29464-3251
(843) 971-4673
(843) 971-3355
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27394
SC
2086S0129X
Vascular Surgery Physician
27394
SC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
27394
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273947
—
SC
Enumeration date
04/09/2008
Last updated
04/10/2008
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