Organization
PALMETTO PRIMARY CARE PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY JEAN POKORNY (CREDENTIALING COORDINATOR)
(843) 820-3397
Entity
Organization
Contact information
Practice address
133 E 1ST NORTH ST STE 5, SUMMERVILLE, SC 29483-6873
(843) 873-1592
(843) 507-8284
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 873-1592
(843) 507-8284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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