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Organization

MEDICAL UNIVERSITY OF SOUTH CAROLINA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEE ALLEN ERBE FNP-BC (NURSE PRACTITIONER)
(843) 792-3862
Entity
Organization

Contact information

Practice address
96 JONATHAN LUCAS ST, CSB 816, CHARLESTON, SC 29425-8900
(843) 792-2529
(843) 792-4114
Mailing address
96 JONATHAN LUCAS ST, CSB 816, P.O.BOX 250624, CHARLESTON, SC 29425-8900
(843) 792-2529
(843) 792-4114

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
APN114
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2488
BILLING NUMBER
SC
Enumeration date
03/06/2007
Last updated
08/22/2020
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