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NPI Code Detail

MEDICARE: ROSS DAVID LYNCH MD

MEDICARE: ROSS DAVID LYNCH MD
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
1207XS0117XOrthopaedic Surgery of the Spine Physician10738SC

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 : 1447251814
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSS DAVID LYNCH MD
Provider Business Mailing Address
First Line : 1910 BLANDING ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-3520
Country : US
Telephone Number : 803-256-4107
Fax Number : 803-253-6655
Provider Business Practice Location Address
First Line : 1910 BLANDING ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-3520
Country : US
Telephone Number : 803-256-4107
Fax Number : 803-253-6655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 09/28/2010

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Directions to “ ROSS DAVID LYNCH MD” Practice Location

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