Healthcare Provider Details

I. General information

NPI: 1326364100
Provider Name (Legal Business Name): LOWCOUNTRY URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2010
Last Update Date: 05/13/2022
Certification Date: 05/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182C SEA ISLAND PKWY
BEAUFORT SC
29907-1503
US

IV. Provider business mailing address

182C SEA ISLAND PKWY
BEAUFORT SC
29907-1503
US

V. Phone/Fax

Practice location:
  • Phone: 843-322-1933
  • Fax: 843-322-1912
Mailing address:
  • Phone: 843-322-1933
  • Fax: 843-322-1912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number StateSC

VIII. Authorized Official

Name: DR. DAVID VINCENT RHODES
Title or Position: FAMILY PRACTITIONER
Credential: M.D.
Phone: 843-770-0404