Organization
PALMETTO TRAVEL MEDICINE
Active
Other names
Passport Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM TAYLOR (EXECUTIVE DIRECTOR)
(843) 225-5688
Entity
Organization
Contact information
Practice address
2154 N CENTER ST, SUITE A104, NORTH CHARLESTON, SC 29406-4056
(843) 225-5688
(843) 225-5689
Mailing address
2154 N CENTER ST, SUITE A104, NORTH CHARLESTON, SC 29406-4056
(843) 225-5688
(843) 225-5689
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
MD7722
SC
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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