Individual
OSCAR F LOVELACE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N WHEELER AVE, PROSPERITY, SC 29127
(803) 364-4852
(803) 364-2014
Mailing address
PO BOX 630, PROSPERITY, SC 29127-0630
(803) 364-4852
(803) 364-2014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14022
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080054869
RAILROAD MEDICARE
SC
01
—
1408217
CIGNA
SC
05
—
TL4215
—
SC
Enumeration date
12/23/2005
Last updated
10/05/2007
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