Organization
PALMETTO ADULT AND CHILDRENS UROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMELIA MUNKBERG (PRACTICE ADMINISTRATOR)
(843) 797-6600
Entity
Organization
Contact information
Practice address
2890 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 797-6600
(843) 820-1440
Mailing address
2890 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 797-6600
(843) 820-1440
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7026
MEDICARE GROUP NUMBER
SC
05
—
GP4871
—
SC
Enumeration date
10/11/2005
Last updated
04/20/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us