Lowcountry Neuropathy of Beaufort LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23765 Issued in SC

Legal business name

LOWCOUNTRY NEUROPATHY OF BEAUFORT LLC

Practice address

1264 Ribaut Rd
Beaufort, SC 29902-6123

Phone

(843) 817-7404

Fax

(843) 529-0234

NPI assigned

Aug 31, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Mark LuckieNPI 1083641914

Title

Partner

Phone

(843) 817-7404

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Mark Luckie, D.C.

  • Chiropractor
  • Charleston, SC
  • NPI 1083641914
  NPD (past) Authorized official
• Marc D Fisher, DC

  • Chiropractor
  • Charleston, SC
  • NPI 1720130743
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1396094637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 FLYNN DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294056784",
            "telephone_number": "843-817-7404",
            "fax_number": "843-529-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026123",
            "telephone_number": "843-817-7404",
            "fax_number": "843-529-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY NEUROPATHY OF BEAUFORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "LUCKIE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "843-817-7404"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "23765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1427030212",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lowcountry Family Dentistry of Beaufort, PA
• Lowcountry Healthcare PLLC
• Lowcountry Medical Group of Beaufort County
• Lowcountry Medical Group, LLC
• Lowcountry Neurology and Headache, LLC
• Lowcountry Urgent Care LLC
• Lowe Vision, Inc.
• Zachary Lowry
• Jessica Moore Lowther, FNP
• Jose Antonio Lugo

• Family Medicine Physician in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.