Organization
PALMETTO PAIN CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN M ELLER M.D. (DIRECTOR/OWNER)
(843) 522-3456
Entity
Organization
Contact information
Practice address
41 MARSHELLEN DR, SUITE A, BEAUFORT, SC 29902-6900
(843) 522-3456
(843) 522-8263
Mailing address
41 MARSHELLEN DR, SUITE A, BEAUFORT, SC 29902-6900
(843) 522-3456
(843) 522-8263
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33094
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY NUMBER
—
01
—
1205888765
NPI
—
01
—
21483
STATE LICENSE NUMBER
SC
01
—
33094
SPECIALTY NUMBER
—
05
—
GP0036
—
SC
Enumeration date
10/26/2006
Last updated
05/21/2020
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