MEDICARE: DR. ALVA LAWTON STRICKLAND 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
1	2080P0205X	Pediatric Endocrinology Physician	4588	SC

General Provider Information

NPI Number	:	1306399415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALVA LAWTON STRICKLAND M.D.

Provider Business Mailing Address
First Line	:	10 COMFORT PT
Second Line	:
City	:	SAINT HELENA ISLAND
State	:	SC
Zip	:	29920-5739
Country	:	US
Telephone Number	:	843-838-9481
Fax Number	:	843-838-9481

Provider Business Practice Location Address
First Line	:	10 COMFORT PT
Second Line	:
City	:	SAINT HELENA ISLAND
State	:	SC
Zip	:	29920-5739
Country	:	US
Telephone Number	:	843-838-9481
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2016
Last Update Date	:	07/26/2016

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