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NPI Code Detail

MEDICARE: LOWCOUNTRY HEALTH GROUP LLC

MEDICARE: LOWCOUNTRY HEALTH GROUP LLC
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1205224680
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOWCOUNTRY HEALTH GROUP LLC
Provider Business Mailing Address
First Line : 588 OLD MOUNT HOLLY RD
Second Line :
City : GOOSE CREEK
State : SC
Zip : 29445-2814
Country : US
Telephone Number : 843-376-5595
Fax Number : 843-797-7432
Provider Business Practice Location Address
First Line : 588 OLD MOUNT HOLLY RD
Second Line :
City : GOOSE CREEK
State : SC
Zip : 29445-2814
Country : US
Telephone Number : 843-376-5595
Fax Number : 843-797-7432
Authorized Official
Title or Position : BILLING MANAGER
Name : SHANNA FLANAGAN
Credential :
Telephone Number : 843-412-8862
Provider Enumeration Date : 01/07/2015
Last Update Date : 01/07/2015

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Directions to “LOWCOUNTRY HEALTH GROUP LLC ” Practice Location

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