Organization
LAKE CITY FAMILY MEDICINE, LLC
Active
Parent organization
LAKE CITY FAMILY MEDICINE, LLC
Other names
Family Medicine Associates, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE CITY FAMILY MEDICINE, LLC
Authorized official
DR. MORRIS EDWARD BROWN III M.D. (OWNER)
(843) 374-8380
Entity
Organization
Contact information
Practice address
505 THURGOOD MARSHALL HWY, KINGSTREE, SC 29556-4107
(843) 374-8380
Mailing address
901 N MATTHEWS RD, LAKE CITY, SC 29560-7024
(843) 374-5247
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
17100
SC
Other
Enumeration date
07/26/2012
Last updated
10/11/2012
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