# PALMETTO THERAPEUTIC MEDICINE LLC

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

## Provider details

- **NPI number:** 1306215140
- **Authorized official:** DR. STEPHEN MARK THOMAS M.D. (MD, FAMILY MEDICINE)
- **Authorized official phone:** (843) 819-7950

## Contact information

- **Practice address:** 1204 PALMETTO PENINSULA DR, MOUNT PLEASANT, SC 29464-7452
- **Practice address phone:** (843) 819-7950
- **Mailing address:** 1204 PALMETTO PENINSULA DR, MOUNT PLEASANT, SC 29464-7452
- **Mailing address phone:** (843) 819-7950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 28138 | SC | Yes |

## Other

- **Enumeration date:** 09/23/2015
- **Last updated:** 01/25/2016
