Southern Living Emergency Physicians LLC
NPI #1528314325 in Loris, South Carolina
Provider Information
- NPI Number
- 1528314325
- Entity Type
- Organization
- Organization Name
- Southern Living Emergency Physicians LLC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Jul 30, 2012
- Last Updated
- Dec 22, 2020
Practice Location
- Address
- 6988 MITCHELL STREET
- City
- Loris
- State
- South Carolina
- ZIP Code
- 29569
- Phone
- (843) 716-7000
Authorized Official
- Name
- KATHY KONDAS
- Title
- OFFICER
- Phone
- (973) 251-1132
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Nurse Practitioner |
| Emergency Medicine |
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