Organization
LOWCOUNTRY MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH M CLEVELAND (CHIEF OPERATING OFFICER)
(843) 770-0572
Entity
Organization
Contact information
Practice address
300 MIDTOWN DR, BEAUFORT, SC 29906-5200
(843) 770-0572
(843) 982-0112
Mailing address
300 MIDTOWN DR, BEAUFORT, SC 29906-5200
(843) 770-0572
(843) 982-0112
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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