Organization
LOWCOUNTRY OUTPATIENT SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELENE MEDLEY (ADMINISTRATOR)
(843) 285-6069
Entity
Organization
Contact information
Practice address
93A SPRINGVIEW LN, SUMMERVILLE, SC 29485-8154
(843) 285-6060
(843) 797-3633
Mailing address
93A SPRINGVIEW LN, SUMMERVILLE, SC 29485-8154
(843) 285-6060
(843) 797-3633
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ASC060
—
SC
01
—
P00210673
RAIL RD MEDICARE
SC
Enumeration date
03/10/2006
Last updated
07/26/2024
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