Provider Demographics
NPI:1326364100
Name:LOWCOUNTRY URGENT CARE LLC
Entity Type:Organization
Organization Name:LOWCOUNTRY URGENT CARE LLC
Other - Org Name:LOWCOUNTRY URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FAMILY PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-770-0404
Mailing Address - Street 1:182C SEA ISLAND PKWY
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29907-1503
Mailing Address - Country:US
Mailing Address - Phone:843-322-1933
Mailing Address - Fax:843-322-1912
Practice Address - Street 1:182C SEA ISLAND PKWY
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29907-1503
Practice Address - Country:US
Practice Address - Phone:843-322-1933
Practice Address - Fax:843-322-1912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QU0200X
SC363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty