# PALMETTO PEDIATRICS, PA

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

## Provider details

- **NPI number:** 1861560765
- **Authorized official:** SHARON CHODNICKI (PRACTICE MANAGER)
- **Authorized official phone:** (843) 797-5600

## Contact information

- **Practice address:** 2781 TRICOM ST, NORTH CHARLESTON, SC 29406-9170
- **Practice address phone:** (843) 797-5600
- **Mailing address:** 2781 TRICOM ST, NORTH CHARLESTON, SC 29406-9170
- **Mailing address phone:** (843) 797-5600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP0233 | — | SC |