Organization
LEWISVILLE MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRDAD YOUSEFIAN M.D. (PRESIDENT)
(803) 789-6111
Entity
Organization
Contact information
Practice address
3248 EDGELAND HWY, RICHBURG, SC 29729-9478
(803) 789-6111
(803) 789-6118
Mailing address
3248 EDGELAND HWY, RICHBURG, SC 29729-9478
(803) 789-6111
(803) 789-6118
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12773
SC
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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