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Organization

PALMETTO ANESTHESIA OF CHARLESTON, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY C BEALL M.D. (PARTNER)
(843) 572-1228
Entity
Organization

Contact information

Practice address
9263 MEDICAL PLAZA DR, STE E, CHARLESTON, SC 29406-7112
(843) 572-1228
(877) 561-7564
Mailing address
PO BOX 308, LADSON, SC 29456-0308
(843) 572-1228
(877) 561-7564

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DF3518
RR MEDICARE
SC
05
GP4029
SC
Enumeration date
05/16/2006
Last updated
08/02/2012
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