Organization
PALMETTO PRIMARY CARE PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT TURNER (CFO)
(843) 695-6071
Entity
Organization
Contact information
Practice address
110A SPRINGHALL DR, GOOSE CREEK, SC 29445-5335
(843) 266-2520
(843) 553-4436
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
161924
SC
207Q00000X
Family Medicine Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4999
—
SC
Enumeration date
11/04/2008
Last updated
06/01/2021
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