Rudisill, Lawrence Edwin
Rudisill, Lawrence Edwin is an individual health care provider with primary practice located at 1011 Frontage Rd , Greenville SC 29615-4240. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Rudisill, Lawrence Edwin can be contacted via phone (864) 242-4263.Contact Information
Primary practice address
1011 Frontage Rd
Greenville SC 29615-4240
Phone: (864) 242-4263
Fax: (864) 242-2250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 10481 | South Carolina |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | MD61280339 | Washington |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 10481 | South Carolina |
Profile Details
| NPI number | 1699725952 |
|---|---|
| LBN Legal business name | Rudisill, Lawrence Edwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Mar 24th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699725952 | NPPES |
| South Carolina | MEDICAID | 104817 |
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