Organization
DECIPHER MEDICAL AT PALMETTO BLUFF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANTOS JOHN DOMINGUEZ II (DIRECTOR OF OPERATIONS)
(210) 861-9819
Entity
Organization
Contact information
Practice address
15 BUCKHEAD BAY RD UNIT 1501, BLUFFTON, SC 29910-8071
(210) 861-9819
Mailing address
15 BUCKHEAD BAY RD UNIT 1501, BLUFFTON, SC 29910-8071
(210) 861-9819
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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