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Lake City - Kingstree Radiology, Pc
Diagnostic Radiology Physician in Lake City, South Carolina
NPI 1760530208

Lake City - Kingstree Radiology, Pc is a Diagnostic Radiology Physician based in Durham, SC and is specialized in Diagnostic Radiology. Lake City - Kingstree Radiology, Pc practices in Lake City, SC. The NPI Number for Lake City - Kingstree Radiology, Pc is 1760530208 and holds a License No. (South Carolina).

The current practice location address for Lake City - Kingstree Radiology, Pc is 258 N Ron Mcnair Blvd, Lake City, SC and can be reached out via phone at 843-374-6171 and via fax at 843-374-6133.

Location: 258 N Ron Mcnair Blvd, Lake City, SC, 27705-2158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760530208
Provider Name
Lake City - Kingstree Radiology, Pc
Credential
Provider Entity Type
Organization
Address
258 N Ron Mcnair Blvd, Lake City, SC, 27705-2158
Phone Number
843-374-6171
Fax Number
843-374-6133
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A4139 01 SC RAIL ROAD MEDICARE
GP3037 05 SC
institution
Provider Business Practice Location Address Details
Address
258 N Ron Mcnair Blvd
City
Lake City
State
South Carolina
Zip
29560-2462
Phone Number
843-374-6171
Fax Number
843-374-6133
person
Provider Business Mailing Address Details
Address
258 N Ron Mcnair Blvd
City
Lake City
State
South Carolina
Zip
29560-2462
Phone Number
843-374-6171
Fax Number
843-374-6133
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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