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NPI Code Detail

MEDICARE: DR. LLOYD BERNARD MANDEL M.D.

MEDICARE: DR. LLOYD BERNARD MANDEL M.D.
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
1208VP0000XPain Medicine Physician10054SC
2208600000XSurgery Physician10054SC

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 : 1225113178
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LLOYD BERNARD MANDEL M.D.
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 04/22/2025

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Directions to “ DR. LLOYD BERNARD MANDEL M.D.” Practice Location

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