Organization
PALMETTO PRIMARY CARE PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS BRANTLEY ARNAU MD (PRESIDENT)
(843) 820-3397
Entity
Organization
Contact information
Practice address
412 N GUM ST, SUMMERVILLE, SC 29483-6830
(843) 873-1720
(843) 873-1108
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5881
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
207Q00000X
Family Medicine Physician
Primary
19100
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DPE077
MEDICAID DIABETES EDUCATION
SC
05
—
GP4992
—
SC
Enumeration date
10/29/2008
Last updated
06/01/2021
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