Organization
LOWCOUNTRY AMBULATORY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC E RADABAUGH MBA (CEO)
(843) 766-4070
Entity
Organization
Contact information
Practice address
641 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7165
(843) 766-4070
(843) 766-0633
Mailing address
641 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7165
(843) 766-4070
(843) 766-0633
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
SC-11-48
SC
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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