Organization
LOWCOUNTRY RADIATION ONCOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DECKER MULBRY M.D. (OWNER/PHYSICIAN)
(843) 724-2140
Entity
Organization
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2140
Mailing address
PO BOX 63345, CHARLOTTE, NC 28263-0001
(843) 724-2140
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE4060
RAILROAD MEDICARE
SC
05
—
GP4262
—
SC
Enumeration date
05/27/2006
Last updated
10/02/2013
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