Lakeside Orthopaedic Center, LLC
NPI #1528044468 in Manning, South Carolina
Provider Information
- NPI Number
- 1528044468
- Entity Type
- Organization
- Organization Name
- Lakeside Orthopaedic Center, LLC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Dec 22, 2005
- Last Updated
- Jul 27, 2012
Practice Location
- Address
- 50 E HOSPITAL ST
- Address 2
- SUITE 6
- City
- Manning
- State
- South Carolina
- ZIP Code
- 29102-3149
- Phone
- (803) 433-5633
Authorized Official
- Name
- DAVID WOODBURY, MD
- Title
- OWNER
- Phone
- (803) 433-5633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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