Individual
DR. SILAS EMMETT LUCAS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 INTERNATIONAL DR, GREENVILLE, SC 29615-4816
(864) 234-7654
(864) 675-1657
Mailing address
35 INTERNATIONAL DR, GREENVILLE, SC 29615-4816
(864) 234-7654
(864) 675-1657
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
18085
SC
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
18085
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8157
MEDICARE PTAN
SC
05
—
T18530
—
SC
Enumeration date
04/27/2006
Last updated
02/19/2021
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