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NPI Code Detail

MEDICARE: LOWCOUNTRY MEDICAL ASSOCIATES

MEDICARE: LOWCOUNTRY MEDICAL ASSOCIATES
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
1207R00000XInternal Medicine 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 : 1760432298
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOWCOUNTRY MEDICAL ASSOCIATES
Provider Business Mailing Address
First Line : 615 WESLEY DR
Second Line : STE 200
City : CHARLESTON
State : SC
Zip : 29407-7204
Country : US
Telephone Number : 843-571-6880
Fax Number :
Provider Business Practice Location Address
First Line : 615 WESLEY DR
Second Line : STE 200
City : CHARLESTON
State : SC
Zip : 29407-7204
Country : US
Telephone Number : 843-571-6880
Fax Number :
Authorized Official
Title or Position : COO
Name : LINDA C SHOEMAKER
Credential :
Telephone Number : 843-937-8101
Provider Enumeration Date : 05/12/2006
Last Update Date : 04/20/2008

Similar Medicare Providers

1528061397 — DR. WILLIAM FRANCIS MAGUIRE JR. M.D.
Practice Location Address:
615 WESLEY DR , SUITE 300
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29407-7204
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1518916568 — LOWCOUNTRY MEDICAL ASSOCIATES
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1235180571 — LOWCOUNTRY MEDICAL ASSOCIATES
Practice Location Address:
615 WESLEY DR , SUITE 200
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Practice Fax:
1407808926 — DR. JAMES E FAYSSOUX M.D.
Practice Location Address:
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1053337626 — CARDIOLOGY ASSOCIATES OF CHARLESTON LLC
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1437167202 — DR. CHRISTOPHER P MCLAIN MD
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Directions to “LOWCOUNTRY MEDICAL ASSOCIATES ” Practice Location

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