NPI | 1093090482 |
---|---|
Doing Business As | LAKEVIEW FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | DARRELL C COVEN Director, Ambulatory Services Financ 803-296-7301 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2011-10-17 |
Last Update Date | 2015-08-17 |