Organization
SOUTHERN PALMETTO PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA STARNES FNP (OWNER)
(803) 287-7019
Entity
Organization
Contact information
Practice address
503 CHESTER AVE STE C, GREAT FALLS, SC 29055-1207
(803) 482-5904
Mailing address
503 CHESTER AVE STE C, GREAT FALLS, SC 29055-1207
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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