Organization
LEXINGTON COUNTY HEALTH SERV
Active
Parent organization
LEXINGTON COUNTY HEALTH SERV
Other names
Lexington Medical Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEXINGTON COUNTY HEALTH SERV
Authorized official
KAREN HENDERSON (CREDENTIALING SPECIALIST)
(803) 936-7679
Entity
Organization
Contact information
Practice address
110 E MEDICAL LN STE 140, WEST COLUMBIA, SC 29169-4817
(803) 936-8900
Mailing address
2720 SUNSET BLVD, ATTN CREDENTIALING, WEST COLUMBIA, SC 29169-4810
(803) 936-7679
(803) 791-2122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4221
—
SC
Enumeration date
07/08/2006
Last updated
11/15/2007
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