Individual
LAURIE ANN KEARSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 HOSPITAL DR STE 310, MT PLEASANT, SC 29464-3217
(843) 737-6030
(843) 207-2289
Mailing address
PO BOX 8159, MOBILE, AL 36689-0159
(843) 737-6030
(843) 207-2289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16136
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16136
MEDICAL LICENSE
SC
Enumeration date
02/13/2007
Last updated
04/30/2013
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