Organization
PALMETTO GERIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY CHASE (MANAGING MEMBER)
(803) 794-3669
Entity
Organization
Contact information
Practice address
1175 SUNSET BLVD, WEST COLUMBIA, SC 29169-6863
(803) 794-3669
(803) 794-3269
Mailing address
1175 SUNSET BLVD, WEST COLUMBIA, SC 29169-6863
(803) 794-3669
(803) 794-3269
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/03/2006
Last updated
08/22/2020
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