Organization
PALMETTO ANESTHESIA SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M PRATT MD (PARTNER)
(843) 553-7070
Entity
Organization
Contact information
Practice address
5039 BARRIER ISLAND CT, MT PLEASANT, SC 29466-6933
(843) 881-0403
(843) 553-2223
Mailing address
9263 MEDICAL PLAZA DR, STE E, CHARLESTON, SC 29406-7112
(843) 553-7070
(843) 553-2223
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG4590
RAILROAD MEDICARE
SC
05
—
GP4685
—
SC
Enumeration date
01/08/2007
Last updated
07/20/2012
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