Organization
LOWCOUNTRY MEDICAL ASSOCIATES
Active
Other names
West Ashley Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA C SHOEMAKER (COO)
(843) 937-8101
Entity
Organization
Contact information
Practice address
2270 ASHLEY CROSSING DR, STE 170, CHARLESTON, SC 29414-5732
(843) 763-3700
Mailing address
2270 ASHLEY CROSSING DR, STE 170, CHARLESTON, SC 29414-5732
(843) 763-3700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
SC
208000000X
Pediatrics Physician
—
SC
363L00000X
Nurse Practitioner
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1157
—
SC
05
—
GP1202
—
SC
Enumeration date
05/16/2006
Last updated
09/15/2008
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