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Organization
PALMETTO FAMILY CARE
Active
Organization
PALMETTO FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEROLD NAZON M.D. (PRESIDENT)
(843) 745-9990
Entity
Organization
Contact information
Practice address
1455 REMOUNT RD, SUITE 1A & 1B, NORTH CHARLESTON, SC 29406-3355
(843) 745-9990
(843) 745-0008
Mailing address
PO BOX 50519, SUMMERVILLE, SC 29485-0519
(843) 745-9990
(843) 745-0008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SC12512
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2608
—
SC
Enumeration date
01/22/2006
Last updated
10/18/2007
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