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Organization

LCA-SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER PURTLE (OWNER)
(864) 360-4388
Entity
Organization

Contact information

Practice address
1 CREEKVIEW CT STE C, GREENVILLE, SC 29615-4839
(864) 484-7087
Mailing address
1 CREEKVIEW CT STE C, GREENVILLE, SC 29615-4839

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
12/11/2017
Last updated
12/11/2017
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