Organization
PALMETTO PRIMARY CARE PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS BRANTLEY ARNAU MD (PRESIDENT)
(843) 572-7727
Entity
Organization
Contact information
Practice address
2550 ELMS CENTER RD, N CHARLESTON, SC 29406-9844
(843) 572-7727
(843) 569-5872
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD2393
RR MEDICARE
SC
01
—
DPE087
MEDICAID DIABETES EDU
SC
05
—
GP1551
—
SC
Enumeration date
06/05/2006
Last updated
06/01/2021
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