Organization
LOWCOUNTRY MEDICAL ASSOCIATES
Active
Other names
St Andrews Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA C SHOEMAKER (COO)
(843) 937-8101
Entity
Organization
Contact information
Practice address
1064 GARDNER RD, SUITE 105, CHARLESTON, SC 29407-5768
(843) 226-0046
Mailing address
1064 GARDNER RD, SUITE 105, CHARLESTON, SC 29407-5768
(843) 226-0046
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3221
—
SC
Enumeration date
05/11/2006
Last updated
10/17/2007
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