Organization
LEXINGTON RADIOLOGY ASSOCIATES, P.A.
Active
Organization
LEXINGTON RADIOLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE SYLVESTER DAVIS III M.D. (PRESIDENT)
(803) 791-2365
Entity
Organization
Contact information
Practice address
2720 SUNSET BLVD, RADIOLOGY DEPARTMENT, WEST COLUMBIA, SC 29169-4810
(803) 791-2365
(803) 791-2392
Mailing address
PO BOX 602420, CHARLOTTE, NC 28260-2420
(317) 705-5050
(317) 705-5055
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA1140
—
SC
Enumeration date
06/24/2006
Last updated
04/13/2010
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