| NPI | 1386845311 |
|---|---|
| Doing Business As | LAKE CITY FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARY C DUKE Director Of PFS 843-374-6431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC GP1078) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |