Organization
LOWCOUNTRY ENDOCRINE & DIABETES ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY B PUGH MD (OWNER/PHYSICIAN)
(843) 805-5918
Entity
Organization
Contact information
Practice address
125 DOUGHTY ST, SUITE 530, CHARLESTON, SC 29403-5736
(843) 805-5918
Mailing address
125 DOUGHTY ST STE 530, CHARLESTON, SC 29403-5744
(843) 805-5918
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
16440
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164404
—
SC
Enumeration date
08/15/2006
Last updated
05/09/2008
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