Organization
LIVE OAK MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRA AARD (DIRECTOR)
(843) 374-3621
Entity
Organization
Contact information
Practice address
148 SAULS ST, LAKE CITY, SC 29560-2631
(843) 374-3621
(843) 374-3624
Mailing address
148 SAULS ST, LAKE CITY, SC 29560-2631
(843) 374-3621
(843) 374-3624
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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