20th Medgrp-Shaw
NPI #1336112440 in Shaw Afb, South Carolina
Provider Information
- NPI Number
- 1336112440
- Entity Type
- Organization
- Organization Name
- 20th Medgrp-Shaw
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 20TH MEDGRP-SHAW
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Feb 9, 2006
- Last Updated
- Jun 17, 2025
Practice Location
- Address
- 431 MEADOWLARK ST
- City
- Shaw Afb
- State
- South Carolina
- ZIP Code
- 29152-5019
- Phone
- (803) 895-6526
Authorized Official
- Name
- JEN LEWANDOWSKI
- Title
- DHA UBO
- Phone
- (703) 817-4030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure — Military and U.S. Coast Guard Ambulatory Procedure |
| Military/U.S. Coast Guard Pharmacy |
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
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