Organization
SUMMERVILLE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY LUKRIDGE (CEO)
(843) 871-9622
Entity
Organization
Contact information
Practice address
140 S CEDAR ST, SUMMERVILLE, SC 29483-6014
(843) 871-9622
(843) 821-3127
Mailing address
140 S CEDAR ST, SUMMERVILLE, SC 29483-6014
(843) 871-9622
(843) 821-3127
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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