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MR. CHARLES HUBERT LEMOINE III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
3 RICHLAND MEDICAL PARK DR STE 310, COLUMBIA, SC 29203-6862
(803) 434-8323
(803) 434-8326
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11020279
FL
363LF0000X
Family Nurse Practitioner
Primary
27436
SC

Other

Enumeration date
06/23/2022
Last updated
07/05/2023
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