Individual
DR. PAUL A. LINGOES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 COLONIAL COMMONS, AGAPE PHYSICIANS CARE, LANCASTER, SC 29720
(803) 207-8200
(803) 207-8130
Mailing address
1624 MAIN STREET, AGAPE SENIOR PRIMARY CARE, INC., DBA AGAPE PHYSICIANS C, COLUMBIA, SC 29201
(803) 454-0365
(803) 404-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020-03135
NC
207Q00000X
Family Medicine Physician
TL34607
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
346076
INDIVIDUAL MEDICAID PROVIDER
SC
01
—
423876
RHC MEDICARE (INDIANLAND)
SC
01
—
428960
RHC MEDICARE (LANCASTER)
SC
01
—
CE1315
MEDICARE RAILROAD GROUP#
SC
05
—
GP0641
—
SC
01
—
RHC127
RHC MEDICAID (LANCASTER)
SC
01
—
RHC211
RHC MEDICAID (INDIANLAND)
SC
Enumeration date
06/12/2008
Last updated
07/17/2023
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