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Organization

PALMETTO MEDICAL GROUP, PLLC

Active
Parent organization
PALMETTO MEDICAL GROUP, PLLC
Other names
Palmetto Medical Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
PALMETTO MEDICAL GROUP, PLLC
Authorized official
DR. AMIT G SHAH M.D. (PRESIDENT)
(803) 548-7007
Entity
Organization

Contact information

Practice address
1040 EDGEWATER CORPORATE PKWY SUITE 101, INDIAN LAND, SC 29707-7177
(803) 548-7007
Mailing address
1040 EDGEWATER CORPORATE PKWY SUITE 101, INDIAN LAND, SC 29707-7177
(803) 548-7007

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
05/12/2008
Last updated
08/14/2015
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