Organization
LOW COUNTRY ENT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHA FALLS (PRACTICE MANAGER)
(843) 863-1188
Entity
Organization
Contact information
Practice address
2850 TRICOM ST, NORTH CHARLESTON, SC 29406-9192
(843) 863-1188
(843) 863-8286
Mailing address
2850 TRICOM ST, NORTH CHARLESTON, SC 29406-9192
(843) 863-1188
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207Y00000X
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992705099
NPI FOR RUSSELL D. KITCH MD
SC
05
—
GP2380
—
SC
Enumeration date
10/10/2007
Last updated
07/02/2025
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