Organization
LOWCOUNTRY MEDICAL ASSOCIATES
Active
Other names
LMA Ancilliary Billing Dept
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA SHOEMAKER (COO)
(843) 937-8101
Entity
Organization
Contact information
Practice address
4450 LEEDS PL W, N CHARLESTON, SC 29405-8402
(843) 937-8101
Mailing address
180 WINGO WAY, SUITE 105, MT PLEASANT, SC 29464-1810
(843) 937-8101
(843) 937-8107
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6795
MEDICARE PTAN
SC
05
—
L00100
—
SC
Enumeration date
05/09/2006
Last updated
10/07/2008
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