Organization
PALMETTO PRIMARY CARE PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA REEVE (CREDENTIALING COORDINATOR)
(843) 695-6071
Entity
Organization
Contact information
Practice address
1205 HUTTO ST, ORANGEBURG, SC 29118-1454
(803) 531-3911
(803) 531-2666
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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