ARIZONA LS LLC
Organization (NPI-2)
Active
Family Medicine, Bariatric Medicine
Provider Information
- NPI Number
1699157958- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 966 HOUSTON NORTHCUTT BLVD STE G, MT PLEASANT, SC, 294643487
- Phone
- (843) 388-6334
- Fax
- (843) 388-4197
Specialties & Taxonomies
Family Medicine, Bariatric Medicine
Primary License: SC #20034883