Lowcountry Neuropathy Of Beaufort Llc | |
1264 Ribaut Rd Beaufort SC 29902-6123 | |
(843) 817-7404 | |
(843) 529-0234 |
Full Name | Lowcountry Neuropathy Of Beaufort Llc |
---|---|
Speciality | Family Medicine |
Location | 1264 Ribaut Rd, Beaufort, South Carolina |
Authorized Official Name and Position | William Mark Luckie (PARTNER) |
Authorized Official Contact | 8438177404 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lowcountry Neuropathy Of Beaufort Llc 4222 Flynn Dr North Charleston SC 29405-6784 Ph: (843) 817-7404 | Lowcountry Neuropathy Of Beaufort Llc 1264 Ribaut Rd Beaufort SC 29902-6123 Ph: (843) 817-7404 |
NPI Number | 1396094637 |
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Provider Enumeration Date | 08/31/2012 |
Last Update Date | 08/31/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396094637 | NPI | - | NPPES |
1427030212 | Other | SC | PROVIDER NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 23765 (South Carolina) | Primary |
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