Organization
PALMETTO PULMONARY MEDICINE. P.A.
Active
Other names
palmetto pulmonary medicine, p.a.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER NICHOLAS MANOS M.D. (OWNER)
(843) 521-8484
Entity
Organization
Contact information
Practice address
989 RIBAUT RD, SUITE 340, BEAUFORT, SC 29902-5472
(843) 521-8484
(843) 521-8485
Mailing address
989 RIBAUT RD, SUITE 340, BEAUFORT, SC 29902-5472
(843) 521-8484
(843) 521-8485
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MPA968
—
SC
Enumeration date
12/06/2006
Last updated
09/11/2025
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