Organization
PALMETTO KIDNEY AND HYPERTENSION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA ELLINGTON CHEEK MD (OWNER)
(843) 573-0858
Entity
Organization
Contact information
Practice address
2093 HENRY TECKLENBURG DRIVE, SUITE 307, CHARLESTON, SC 29414-5741
(843) 573-0858
(843) 573-0859
Mailing address
2093 HENRY TECKLENBURG DRIVE, STE 307, CHARLESTON, SC 29414-5743
(843) 766-9105
(843) 402-9925
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
14170
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4468
—
SC
Enumeration date
10/13/2006
Last updated
11/21/2007
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