Organization
SUNGATE DERMATOLOGY
Active
Parent organization
PALMETTO EYE SPECIALISTS PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO EYE SPECIALISTS PA
Authorized official
DR. KENNETH DANIEL FARR M.D. (MEDICAL DIRECTOR)
(843) 842-2020
Entity
Organization
Contact information
Practice address
10 WILLIAM POPE DR, SUNGATE MEDICAL CENTER, SUITE #4, BLUFFTON, SC 29909-7549
(843) 705-1513
(843) 705-1514
Mailing address
10 WILLIAM POPE DR, SUNGATE MEDICAL CENTER, SUITE #4, BLUFFTON, SC 29909-7549
(843) 705-1513
(843) 705-1514
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
MD31744
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6830
MEDICARE
SC
01
—
CH3121
RAILROAD MEDICARE
SC
05
—
GP2666
—
SC
01
—
P00764908
MEDICARE GROUP PTAN
SC
Enumeration date
04/30/2013
Last updated
04/30/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us