Provider Demographics
NPI:1821631821
Name:LINCOLN, SYLVESTER
Entity Type:Individual
Prefix:MR
First Name:SYLVESTER
Middle Name:
Last Name:LINCOLN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2875 CLAUSSEN RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-7007
Mailing Address - Country:US
Mailing Address - Phone:843-618-7207
Mailing Address - Fax:843-664-9309
Practice Address - Street 1:2875 CLAUSSEN RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-7007
Practice Address - Country:US
Practice Address - Phone:843-618-7207
Practice Address - Fax:843-664-9309
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-22
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor