# PALMETTO ENDOSCOPY SUITE, LLC

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

## Provider details

- **NPI number:** 1972808186
- **Authorized official:** DR. GEORGE JENKINS III MD (DOCTOR)
- **Authorized official phone:** (803) 509-5710

## Contact information

- **Practice address:** 1520 TAYLOR ST, COLUMBIA, SC 29201-2919
- **Practice address phone:** (803) 509-5710
- **Practice address fax:** (803) 509-5711
- **Mailing address:** 1520 TAYLOR ST, COLUMBIA, SC 29201-2919
- **Mailing address phone:** (803) 509-5710
- **Mailing address fax:** (803) 509-5711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/19/2011
- **Last updated:** 01/31/2012