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Organization
PREMIER MEDICAL OF SC LLC
Active
Organization
PREMIER MEDICAL OF SC LLC
Active
Other names
Premier Medical
Organization subpart
No
Provider details
NPI number
Authorized official
KAREY BREEN MD (MD)
(843) 225-2374
Entity
Organization
Contact information
Practice address
5880 RIVERS AVE, NORTH CHARLESTON, SC 29406-6053
(843) 225-2374
(843) 459-1923
Mailing address
354 FOLLY RD STE 5, CHARLESTON, SC 29412-2594
(843) 225-2374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP9928
—
SC
05
—
PG0752
—
SC
Enumeration date
12/16/2018
Last updated
05/10/2022
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