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Organization
PALMETTO PULMONARY MEDICINE. P.A.
Active
Organization
PALMETTO PULMONARY MEDICINE. P.A.
Active
Other names
palmetto pulmonary medicine, p.a.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER NICHOLAS MANOS M.D. (OWNER)
(843) 521-8484
Entity
Organization
Contact information
Practice address
989 RIBAUT RD, SUITE 340, BEAUFORT, SC 29902-5472
(843) 521-8484
(843) 521-8485
Mailing address
989 RIBAUT RD, SUITE 340, BEAUFORT, SC 29902-5472
(843) 521-8484
(843) 521-8485
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MPA968
—
SC
Enumeration date
12/06/2006
Last updated
09/11/2025
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