Individual
STEPHEN EDDIE LOOKADOO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9 MILLS AVE, GREENVILLE, SC 29605-4015
(864) 297-8890
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19129
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191296
—
SC
01
—
5335649
AETNA
SC
01
—
5626311
CIGNA
SC
01
—
57-1004971001
BCBS OF SC
SC
Enumeration date
06/18/2006
Last updated
08/21/2013
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