LAKE CITY MEDICAL ASSOCIATES 2017, LLC

LAKE CITY, SC
NPI1316477060
Entity TypeOrganization
Authorized ContactSHEILA P GODWIN
Office Manager
843-374-3277
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2017-06-15
Last Update Date2018-03-02
Business Address
LAKE CITY MEDICAL ASSOCIATES 2017, LLC
130 S ACLINE ST
LAKE CITY, SC 29560-2633
Phone number: 843-374-3277
Mailing Address
LAKE CITY MEDICAL ASSOCIATES 2017, LLC
130 S ACLINE ST
LAKE CITY, SC 29560-2633
Phone number: