Organization · Type 2 NPI

Southeastern Medical Group, LLC

Specialist · Lexington, SC

NPI number 1093729386 Active

Practice location

609 South Lake Dr, Ste 1
Lexington, SC 29072-4119

Fax (803) 957-0909

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X17764 (SC)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1093729386

Southeastern Medical Group, LLC's National Provider Identifier is 1093729386, issued on Jul 29, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lexington, SC. The record was last updated on May 21, 2020.