{
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"ParentOrgLBN": null,
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"OrgName": "SOUTHERN CAROLINA SURGICAL",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "102 REEDY ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHESTER",
"MailingAddressStateName": "SC",
"MailingAddressPostalCode": "29706-1836",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "803-581-2001",
"MailingAddressFaxNumber": "803-581-2001",
"FirstLinePracticeLocationAddress": "1 MEDICAL PARK DR",
"SecondLinePracticeLocationAddress": "BLDG 4, SUITE A",
"PracticeLocationAddressCityName": "CHESTER",
"PracticeLocationAddressStateName": "SC",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "803-581-2001",
"PracticeLocationAddressFaxNumber": "803-581-2892",
"EnumerationDate": "08/11/2014",
"LastUpdateDate": "10/22/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HUGHES",
"AuthorizedOfficialFirstName": "MICHAEL",
"AuthorizedOfficialMiddleName": "LLOYD",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "803-374-6409",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208600000X",
"TaxonomyName": "Surgery Physician",
"LicenseNumber": "23667",
"LicenseNumberStateCode": "SC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}