Provider Demographics
NPI:1427809664
Name:LOWCOUNTRY ONCOLOGY ASSOCIATES, LLC
Entity type:Organization
Organization Name:LOWCOUNTRY ONCOLOGY ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. MANGER, CREDENTIALING
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-790-8280
Mailing Address - Street 1:9313 MEDICAL PLAZA DR STE 103
Mailing Address - Street 2:
Mailing Address - City:N CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9802
Mailing Address - Country:US
Mailing Address - Phone:843-790-8280
Mailing Address - Fax:843-974-8500
Practice Address - Street 1:9313 MEDICAL PLAZA DR STE 103
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9802
Practice Address - Country:US
Practice Address - Phone:843-790-8280
Practice Address - Fax:843-974-8500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-27
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematologyGroup - Multi-Specialty
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Multi-Specialty