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Organization

LOWCOUNTRY MEDICAL ASSOCIATES

Active
Other names
Island Internal Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA C SHOEMAKER (COO)
(843) 937-8101
Entity
Organization

Contact information

Practice address
349 FOLLY RD, SUITE B, CHARLESTON, SC 29412-2508
(843) 762-2323
Mailing address
349 FOLLY RD, SUITE B, CHARLESTON, SC 29412-2508
(843) 762-2323

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SC
207R00000X
Internal Medicine Physician
SC
208000000X
Pediatrics Physician
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP1161
SC
Enumeration date
05/10/2006
Last updated
09/15/2008
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