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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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