Organization
HOSPICE & PALLIATIVE CARE CHARLOTTE REGION
Active
Other names
VIA Health Partners, Hospice & Palliative Care Palmetto Region Palliative Care Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
PETER A BRUNNICK (PRESIDENT/ CEO)
(704) 335-3501
Entity
Organization
Contact information
Practice address
1061 RED VENTURES DR STE 130, FORT MILL, SC 29707-2516
(803) 548-3708
(803) 431-2249
Mailing address
PO BOX 470408, CHARLOTTE, NC 28247-0408
(704) 375-0100
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PG2392
—
SC
Enumeration date
05/21/2020
Last updated
04/24/2025
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