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LOWCOUNTRY MEDICAL GROUP LLC NPI 1457406704


NPI Information

NPI: 1457406704
Provider Name: LOWCOUNTRY MEDICAL GROUP, LLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 42D2168852

Address:
300 MIDTOWN DR
BEAUFORT, SC
ZIP 29906
Phone: (843) 770-0572
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LOWCOUNTRY MEDICAL GROUP, LLC is a specialist in Beaufort, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LOWCOUNTRY MEDICAL GROUP, LLC NPI is 1457406704. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 MIDTOWN DR
BEAUFORT, SC
ZIP 29906-200
Phone: (843) 770-0572
Fax: (843) 982-0112

The provider's authorized official is Kenneth M Cleveland .
The authorized official title is Chief Operating Officer and has the following contact phone number (843) 770-0572.

The CLIA number assigned to this NPI record is 42D2168852 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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