Individual
DR. GREGORY E. LYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 E MEDICAL LN STE 300, WEST COLUMBIA, SC 29169-4848
(803) 936-8100
(803) 936-8130
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
11401
SC
207V00000X
Obstetrics & Gynecology Physician
Primary
18131
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009924445
—
AL
05
—
01550224
—
MS
01
—
730-10193
BLUE CROSS OF AL
—
01
—
P00041393
RAILROAD MEDICARE
—
Enumeration date
11/17/2005
Last updated
11/09/2020
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