Organization
NORTHWOODS INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LLOYD EARL HEPBURN JR. M.D. (PRESIDENT)
(843) 572-1946
Entity
Organization
Contact information
Practice address
2179 ASHLEY PHOSPHATE RD, STE B, N CHARLESTON, SC 29406-4180
(843) 572-1946
(843) 572-0855
Mailing address
2179 ASHLEY PHOSPHATE RD STE B, N CHARLESTON, SC 29406-4180
(843) 572-1946
(843) 572-0855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18279
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182796
—
SC
Enumeration date
03/14/2008
Last updated
03/14/2008
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