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1316477060
LAKE CITY MEDICAL ASSOCIATES 2017, LLC
LAKE CITY, SC
NPI
1316477060
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Entity Type
Organization
Authorized Contact
SHEILA P GODWIN
Office Manager
843-374-3277
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2017-06-15
Last Update Date
2018-03-02
Business Address
LAKE CITY MEDICAL ASSOCIATES 2017, LLC
130 S ACLINE ST
LAKE CITY, SC 29560-2633
Phone number: 843-374-3277
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Mailing Address
LAKE CITY MEDICAL ASSOCIATES 2017, LLC
130 S ACLINE ST
LAKE CITY, SC 29560-2633
Phone number:
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