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LOWCOUNTRY MEDICAL ASSOCIATES NPI 1033169156


NPI Information

NPI: 1033169156
Provider Name: LOWCOUNTRY MEDICAL ASSOCIATES

Doing Business As: PLANTATION PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 42D0250776

Address:
1871 SAVAGE RD
CHARLESTON, SC
ZIP 29407
Phone: (843) 766-6308
Get Directions

LOWCOUNTRY MEDICAL ASSOCIATES is a pediatrics in Charleston, SC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. LOWCOUNTRY MEDICAL ASSOCIATES NPI is 1033169156. The provider is registered as an organization entity type.
The provider Is Doing Business As Plantation Pediatrics.

The provider's business location address is:

1871 SAVAGE RD
CHARLESTON, SC
ZIP 29407-726
Phone: (843) 766-6308

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 42D0250776 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 9/25/2008.


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
1332B00000XDurable Medical Equipment & Medical SuppliesSOUTH CAROLINANo
2208000000XPediatricsSOUTH 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
1DE2219MEDICAIDSOUTH CAROLINA
2GP1199MEDICAIDSOUTH 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: 11/14/2023

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