| Lake City Family Medicine | |
|
505 Thurgood Marshall Hwy Kingstree SC 29556-4107 | |
| (843) 355-8380 | |
| Not Available |
| Full Name | Lake City Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 505 Thurgood Marshall Hwy, Kingstree, South Carolina |
| Authorized Official Name and Position | Morris E Brown (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8433748380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake City Family Medicine 505 Thurgood Marshall Hwy Kingstree SC 29556-4107 Ph: () - | Lake City Family Medicine 505 Thurgood Marshall Hwy Kingstree SC 29556-4107 Ph: (843) 355-8380 |
| NPI Number | 1487164679 |
|---|---|
| Provider Enumeration Date | 10/03/2017 |
| Last Update Date | 10/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487164679 | NPI | - | NPPES |
| 1831445998 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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