Organization
LIVING WELL FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEILA P. GRISWOLD (OFFICE MANAGER)
(803) 951-2750
Entity
Organization
Contact information
Practice address
214 OLD CHAPIN ROAD, LEXINGTON, SC 29072
(803) 951-2750
(803) 951-3209
Mailing address
214 OLD CHAPIN ROAD, LEXINGTON, SC 29072
(803) 951-2750
(803) 951-3209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
SC20418
SC
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/03/2006
Last updated
11/29/2012
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