Tri-County Surgery, LLC

NPI #1720135254 in Loris, South Carolina

Provider Information

NPI Number: 1720135254
Entity Type: Organization
Organization Name: Tri-County Surgery, LLC
Primary Specialty: Surgery
Enumeration Date: Jan 5, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3327 CASEY ST
City: Loris
State: South Carolina
ZIP Code: 29569-2811
Phone: (843) 756-5524

Authorized Official

Name: DR. LANE INGRAM MOORE, M.D.
Title: MANAGER
Phone: (843) 756-5524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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