| NPI | 1003416066 |
|---|---|
| Doing Business As | LMC PROVIDER SERVICES |
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRILLHART Sr VP/CFO 803-791-2967 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |