Organization
PALMETTO ENDOSCOPY CENTER - MT PLEASANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA M WYATT (CEO)
(843) 571-0643
Entity
Organization
Contact information
Practice address
1250 WIRE GRASS DRIVE, MT PLEASANT, SC 29466
(843) 571-0643
(843) 571-0311
Mailing address
2073 CHARLIE HALL BLVD, CHARLESTON, SC 29414
(843) 571-0643
(843) 571-0311
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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