Organization
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Active
Other names
MUSC Health Primary Care Lake City
Organization subpart
No
Provider details
NPI number
Authorized official
KARYN RAE (CHIEF)
(843) 876-1344
Entity
Organization
Contact information
Practice address
148 SAULS ST STE 3, LAKE CITY, SC 29560-2677
(843) 699-9183
Mailing address
PO BOX 23467, NEW YORK, NY 10087-3467
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
09/23/2022
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