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Organization
PALMETTO FAMILY MEDICINE OF CHESTERFIELD COUNTY, LLC
Active
Organization
PALMETTO FAMILY MEDICINE OF CHESTERFIELD COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS ANDREW NOVINGER MD (OWNER/PHYSICIAN)
(843) 921-4851
Entity
Organization
Contact information
Practice address
316 2ND ST, CHERAW, SC 29520-2404
(843) 921-4851
(843) 921-4854
Mailing address
316 2ND ST, CHERAW, SC 29520-2404
(843) 921-4851
(843) 921-4854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21964
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3827
—
SC
Enumeration date
09/28/2006
Last updated
10/02/2018
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