Rudisill, Lawrence Edwin

Rudisill, Lawrence Edwin is an individual health care provider with primary practice located at 1011 Frontage Rd , Greenville SC 29615-4240. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Rudisill, Lawrence Edwin can be contacted via phone (864) 242-4263.

Contact Information

Primary practice address
1011 Frontage Rd Greenville SC 29615-4240
Phone: (864) 242-4263
Fax: (864) 242-2250
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 10481 South Carolina
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X MD61280339 Washington
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 10481 South Carolina

Profile Details

NPI number 1699725952
LBN Legal business name Rudisill, Lawrence Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Mar 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699725952 NPPES
South Carolina MEDICAID 104817

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