Lawrence Edwin Rudisill JR.
Surgery of the Hand Orthopaedic Hand Surgeon
1011 Frontage Rd
Greenville
, South Carolina 29615-4240
Lawrence Edwin Rudisill JR.
Surgery of the Hand Orthopaedic Hand Surgeon
1011 Frontage Rd
Greenville
, South Carolina 29615-4240
(864) 522-8617
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About
Features
Specialties
- Orthopaedic Hand Surgeon
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Lawrence Edwin Rudisill JR.
- 300 E Mcbee Ave Fl 4
- Greenville, SC
- Zip : 29601-2842
- Phone : (864) 522-8617
Second Address
- Lawrence Edwin Rudisill JR.
- 1011 Frontage Rd
- Greenville, SC
- Zip : 29615-4240
- Fax : (864) 242-2250
- Phone : (864) 242-4263
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207XS0106X | Orthopaedic Hand Surgeon | 10481 | SC |
| Y | 2086S0105X | Surgery of the Hand | 10481 | SC |
National Provider Identifier
| NPI | 1699725952 |
|---|---|
| Provider Name | Lawrence Edwin Rudisill JR. |
| First Address | Greenville, SC 29601-2842 |
| Second Address | Greenville, SC 29615-4240 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2006 |
| Last Update Date | 14/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 104817 | (05) | SC |
| B91665 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.