Organization
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Active
Parent organization
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Other names
Southeastern Orthopaedics and Sports Medicine Northeast, Southeastern Orthopaedics and Sports Medicine, Southeastern Orthopaedics and Sports Medicine Chapin
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
Authorized official
TIFFANY AYERS (CREDENTIALING MANAGER)
(803) 935-8292
Entity
Organization
Contact information
Practice address
146 EAST HOSPITAL DR, STE 350, WEST COLUMBIA, SC 29169-4800
(803) 936-7966
(803) 936-7938
Mailing address
470 HULON LANE, ATTN: VP - REVENUE CYCLE, WEST COLUMBIA, SC 29169
(803) 936-7966
(803) 936-7938
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
12/21/2011
Last updated
01/07/2021
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