# PALMETTO INFECTIOUS DISEASE PHYSICIANS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255397840
- **Authorized official:** MR. JOHN HUNTER SAMIES M.D. (DOCTOR)
- **Authorized official phone:** (803) 539-0505

## Contact information

- **Practice address:** 1097B COOK RD, ORANGEBURG, SC 29118-8209
- **Practice address phone:** (803) 539-0505
- **Practice address fax:** (803) 539-0410
- **Mailing address:** 2850 JACKSON DR, ORANGEBURG, SC 29118-3156
- **Mailing address phone:** (803) 539-0505
- **Mailing address fax:** (803) 539-0410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 19747 | SC | Yes |

## Other

- **Enumeration date:** 04/24/2006
- **Last updated:** 03/09/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4259 | — | SC |
| 05 | — | GP4295 | — | SC |