Individual
DR. LAURIE RAY HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 N WASHINGTON ST, SUMTER, SC 29150-4920
(803) 774-8888
(803) 778-6376
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
15473
SC
2085R0203X
Therapeutic Radiology Physician
15473
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
02/28/2008
Last updated
03/10/2022
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