Individual
DR. LANCE A DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1075 N FRASER ST, GEORGETOWN, SC 29440-2848
(843) 527-4442
(843) 527-4027
Mailing address
1075 N FRASER ST, GEORGETOWN, SC 29440-2848
(843) 527-4442
(843) 527-4027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8381
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1370
—
SC
05
—
GP1371
—
SC
05
—
RHC132
—
SC
Enumeration date
12/09/2005
Last updated
07/12/2010
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