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LOWCOUNTRY MEDICAL ASSOCIATES NPI 1730139726


NPI Information

NPI: 1730139726
Provider Name: LOWCOUNTRY MEDICAL ASSOCIATES

Doing Business As: ST ANDREWS PEDIATRICS

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 42D1001279

Address:
1064 GARDNER RD
SUITE 105
CHARLESTON, SC
ZIP 29407
Phone: (843) 226-0046
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LOWCOUNTRY MEDICAL ASSOCIATES is a specialist in Charleston, 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 ASSOCIATES NPI is 1730139726. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St Andrews Pediatrics.

The provider's business location address is:

1064 GARDNER RD
SUITE 105
CHARLESTON, SC
ZIP 29407-768
Phone: (843) 226-0046

The provider's authorized official is Linda C Shoemaker .
The authorized official title is Coo and has the following contact phone number (843) 937-8101.

The CLIA number assigned to this NPI record is 42D1001279 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/11/2006 and was last updated on 10/17/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistSOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP3221MEDICAIDSOUTH CAROLINA

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: 4/28/2024

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