Individual
LAWRENCE EDWIN RUDISILL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1011 FRONTAGE RD, GREENVILLE, SC 29615-4240
(864) 242-4263
(864) 242-2250
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8617
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
10481
SC
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
10481
SC
2086S0105X
Surgery of the Hand (Surgery) Physician
MD61280339
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104817
—
SC
Enumeration date
05/10/2006
Last updated
03/24/2022
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