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Contact Information

JOHN A LUCAS IV, MD
2755 S HIGHWAY 14
SUITE 1200L
GREER, SC29650-4902
 Phone: 864-849-9150
 Fax: 864-849-9334
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JOHN A LUCAS IV · (Male)

NPI # 1659692952
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2010
Last updated 02/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 36938
  • SC License # TL36938
  • SC Medicaid 369381
  • SC Other SC36196067 MEDICARE PIN
  • SC Other SC36196084 MEDICARE PIN
  • SC Other SC36196121 MEDICARE PIN
  • SC Other SC36197628 MEDICARE PIN
  • SC Other SC3619J577 MEDICARE PIN
Hospital affiliation(s)
  • SPARTANBURG REGIONAL MEDICAL CENTER - (Acute Care)
    101 E WOOD ST
    SPARTANBURG, SC 29303
  • VILLAGE HOSPITAL - (Acute Care)
    250 WESTMORELAND ROAD
    GREER, SC 29651
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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