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1659506699
LIVE OAK MEDICAL CENTER, PA
LAKE CITY, SC
NPI
1659506699
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Entity Type
Organization
Authorized Contact
ALBERT DURANT MIMS
Director
843-374-3621
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 9352)
Enumeration Date
2009-05-20
Last Update Date
2010-01-20
Business Address
LIVE OAK MEDICAL CENTER, PA
148 SAULS ST.
LAKE CITY, SC 29560
Phone number: 843-687-0435
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Mailing Address
LIVE OAK MEDICAL CENTER, PA
148 SAULS ST.
LAKE CITY, SC 29560
Phone number: 843-374-3621
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