DR. LACIE E. EDMISON (NPI# 1083878813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083878813 |
| Entity Type | Individual |
| Full Name | DR. LACIE E. EDMISON |
| Other Name | DR. LACIE E. BRENNER |
| Credential | M.D. |
| Practice Address |
3980 Highway 9 E Ste 320 Little River SC 29566 |
| Mailing Address |
3980 Highway 9 E Ste 320 Little River SC 29566-8165 |
| Practice Telephone | 8433663715 |
| Practice Fax Number | 8433663716 |
| Mailing Telephone | 8433663715 |
| Mailing Fax Number | 8433663716 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2019-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
81622 | SC | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
2013-01397 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
3980 HIGHWAY 9 E STE 320 |
| City | LITTLE RIVER |
| State | SC |
| Zip Code | 29566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720457567 | Mcleod Physician Associates II | Internal Medicine | 3980 Highway 9 E Ste 320, Little River, SC 29566-8165 | 2015-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736309 | Holly Leanne Poplin | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite C, Main Street Physicians/sc House Calls Inc, Little River, SC 29566 | 2020-09-30 |
| 1619534112 | Mcleod Loris Seacoast Hospital | Pharmacy | 4000 Hwy 9 East, Outpatient Pharmacy, Little River, SC 29566 | 2019-05-21 |
| 1366960585 | Sasha Hayes | Dentist | 1247 Highway 17 S, Little River, SC 29566 | 2017-09-07 |
| 1639557531 | Mary Lucille Harding | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite, Main Street Physicians, Little River, SC 29566 | 2015-05-12 |
| 1770900771 | Dottie Randall-cox | Registered Nurse | 107 Hwy 57-north, Little River, SC 29566 | 2014-03-27 |
| 1689091688 | Carolyn Howe | Registered Nurse | 107 Highway 57 North, Dhec, Little River, SC 29566 | 2014-03-27 |
| 1376977884 | Southern Surgical Group, LLC | Specialist | 3600 Sea Mountain Hwy Suite A, Little River, SC 29566 | 2013-09-03 |
| 1144570888 | Laura Gore | Pharmacist | 2492 Hwy 9 East, Little River, SC 29566 | 2012-09-10 |
| 1255611406 | Belliams Home Health Services | Home Health | 687c Williamson Rd, Longs, SC 29566 | 2011-08-19 |
| 1306988738 | Darlene Lynn Connor | Counselor | 289c Foxfire Plaza Hwy 90e, Little River, SC 29566 | 2007-02-13 |
| Find all providers in zip 29566 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720457567 | Mcleod Physician Associates II | Internal Medicine | 3980 Highway 9 E Ste 320, Little River, SC 29566-8165 | 2015-09-23 |
| 1578530457 | Khaled Fouad Elraie | Internal Medicine | 3980 Highway 9 E, Suite 320, Little River, SC 29566-8163 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007163 | Ppcp Specialty Physicians, LLC | Internal Medicine | 5500 Front St Ste 260, Summerville, SC 29486-7735 | 2020-09-14 |
| 1497398721 | Brooke Alexa Brooks | Internal Medicine | 25 Courtenay Dr # 7018, Charleston, SC 29425-8911 | 2019-10-18 |
| 1437566510 | Tides Gastroenterology, LLC | Internal Medicine | 159 E Shipyard Rd, Mt Pleasant, SC 29464-2677 | 2014-07-21 |
| 1912326893 | Gastroenterology Consultants of Savannah, PC | Internal Medicine | 10 Oak Forest Rd Ste B, Bluffton, SC 29910-4974 | 2014-04-08 |
| 1457616401 | Christopher Robert Brown | Internal Medicine | 4040 Highway 17 Unit 302, Murrells Inlet, SC 29576 | 2012-07-05 |
| 1326304478 | Madeline Rhea Russell | Internal Medicine | 1010 Medical Center Dr Ste 100, Hardeeville, SC 29927-3452 | 2012-04-03 |
| 1083909402 | Andrew Jonathan Motlis | Internal Medicine | 853 N Church St Ste 620, Spartanburg, SC 29303-3070 | 2011-06-14 |
| 1518250414 | Georgia Gastroenterology,llc. | Internal Medicine | 35 Varden Dr, Suite C, Aiken, SC 29803 | 2011-05-25 |
| 1811296239 | South Coast Gastroenterology | Internal Medicine | 2891 Tricom St Ste B, N Charleston, SC 29406-7110 | 2011-03-24 |
| 1235430745 | Beaufort County Memorial Hospital | Internal Medicine | 1716 Ribaut Rd, Port Royal, SC 29935-1927 | 2010-11-15 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE RIVER |
| Zip Code | 29566 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.