Healthcare Provider Details

I. General information

NPI: 1558313080
Provider Name (Legal Business Name): LOWCOUNTRY MEDICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 09/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 ASHLEY CROSSING DR STE 170
CHARLESTON SC
29414-5732
US

IV. Provider business mailing address

2270 ASHLEY CROSSING DR STE 170
CHARLESTON SC
29414-5732
US

V. Phone/Fax

Practice location:
  • Phone: 843-763-3700
  • Fax:
Mailing address:
  • Phone: 843-763-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateSC

VIII. Authorized Official

Name: LINDA C SHOEMAKER
Title or Position: COO
Credential:
Phone: 843-937-8101