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NPI Code Detail

MEDICARE: LOWCOUNTRY INFECTIOUS DISEASES PA

MEDICARE: LOWCOUNTRY INFECTIOUS DISEASES PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194778548
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOWCOUNTRY INFECTIOUS DISEASES PA
Provider Business Mailing Address
First Line : 1938 CHARLIE HALL BLVD UNIT B
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-6099
Country : US
Telephone Number : 843-402-0227
Fax Number : 840-402-0232
Provider Business Practice Location Address
First Line : 1938 CHARLIE HALL BLVD UNIT B
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-6099
Country : US
Telephone Number : 843-402-0227
Fax Number : 840-402-0232
Authorized Official
Title or Position : CEO
Name : SHANNON R MCCOIN
Credential :
Telephone Number : 843-212-8669
Provider Enumeration Date : 05/18/2006
Last Update Date : 05/22/2015

Similar Medicare Providers

1174520068 — DR. JEFFERY L DEAL M.D.
Practice Location Address:
1938 CHARLIE HALL BLVD UNIT B
CHARLESTON, SC
29414-6099
Practice Phone: 843-442-0227
Practice Fax:
1154307189 — MRS. LORI ANN EDGAR MSN FNP-BC
Practice Location Address:
1938 CHARLIE HALL BLVD , UNIT B
CHARLESTON, SC
29414-6099
Practice Phone: 843-402-0227
Practice Fax: 843-402-0232
1609984640 — DANNAH W WRAY MD
Practice Location Address:
1938 CHARLIE HALL BLVD , UNIT B
CHARLESTON, SC
29414-6099
Practice Phone: 843-402-0227
Practice Fax: 843-402-0232
1598866592 — DR. JOSEPH F JOHN JR. M.D.
Practice Location Address:
1938 CHARLIE HALL BLVD UNIT B
CHARLESTON, SC
29414-6099
Practice Phone: 843-402-0227
Practice Fax: 843-402-0232
1558787275 — EMILY N MAYER DNP, FNP-C
Practice Location Address:
1938 CHARLIE HALL BLVD UNIT B
CHARLESTON, SC
29414-6099
Practice Phone: 843-402-0227
Practice Fax: 843-402-0232
1982023339 — CHRISTOPHER JAMES EDENFIELD PA
Practice Location Address:
1938 CHARLIE HALL BLVD UNIT B
CHARLESTON, SC
29414-6099
Practice Phone: 843-402-0227
Practice Fax: 843-402-0232

Directions to “LOWCOUNTRY INFECTIOUS DISEASES PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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