Organization
LIVE OAK MEDICAL CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT DURANT MIMS M.D. (DIRECTOR)
(843) 374-3621
Entity
Organization
Contact information
Practice address
148 SAULS ST., LAKE CITY, SC 29560
(843) 687-0435
(843) 374-3624
Mailing address
148 SAULS ST., LAKE CITY, SC 29560
(843) 374-3621
(843) 374-3624
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9352
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5322
—
SC
Enumeration date
05/20/2009
Last updated
01/20/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us