Lchcs DBA Wilson and Mccormack Surgical Services

NPI #1336439314 in Clinton, South Carolina

Provider Information

NPI Number
1336439314
Entity Type
Organization
Organization Name
Lchcs DBA Wilson and Mccormack Surgical Services
Subpart
Yes (part of a larger organization)
Parent Organization
LCHCS DBA WILSON AND MCCORMACK SURGICAL SERVICES
Primary Specialty
Surgery
Enumeration Date
Apr 12, 2011
Last Updated
Apr 12, 2011

Practice Location

Address
1012 MEDICAL RIDGE RD
ZIP Code
29325-4542
Phone
(864) 833-3852

Authorized Official

Name
MR. WILLIS J GRANT IV
Title
VP AND CFO OF LCHCS
Phone
(864) 833-3976

Specialties & Taxonomy Codes

Specialty
Surgery

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