# MT. PLEASANT INTERNAL MEDICINE

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

## Provider details

- **NPI number:** 1275528168
- **Authorized official:** MARY NELL GOOLSBY (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (843) 881-1671

## Contact information

- **Practice address:** 498 WANDO PARK BLVD STE 500, MT PLEASANT, SC 29464-7963
- **Practice address phone:** (843) 881-1671
- **Practice address fax:** (866) 834-5680
- **Mailing address:** 498 WANDO PARK BLVD STE 500, MT PLEASANT, SC 29464-7963
- **Mailing address phone:** (843) 881-1671
- **Mailing address fax:** (866) 834-5680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2005
- **Last updated:** 02/06/2024