Lakeside Orthopaedic Center, Llc

LBN: Lakeside Orthopaedic Center, Llc
Lakeside Orthopaedic Center, Llc is an health care organization with primary practice located at 50 E Hospital St Suite 6, Manning SC 29102-3149. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Lakeside Orthopaedic Center, Llc can be contacted via phone (803) 433-5633, or through Woodbury, David via phone (803) 433-5633.

Contact Information

Primary practice address
50 E Hospital St Suite 6 Manning SC 29102-3149
Phone: (803) 433-5633
Fax: (803) 433-5636
Website:
Map and Directions
Authorized official contact:
Name: Woodbury, David Doctor of Medicine (MD)
Phone: (803) 433-5633

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 27593 South Carolina

Profile Details

NPI number 1528044468
LBN Legal business name Lakeside Orthopaedic Center, Llc
DBA Doing business as
Authorized official Woodbury, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2005
Last updated Jul 27th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528044468 NPPES
South Carolina MEDICAID 275936
South Carolina MEDICAID GP4233

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