Organization
PALMETTO FAMILY MEDICINE OF CHESTERFIELD COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS ANDREW NOVINGER MD (OWNER/PHYSICIAN)
(843) 921-4851
Entity
Organization
Contact information
Practice address
316 2ND ST, CHERAW, SC 29520-2404
(843) 921-4851
(843) 921-4854
Mailing address
316 2ND ST, CHERAW, SC 29520-2404
(843) 921-4851
(843) 921-4854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21964
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3827
—
SC
Enumeration date
09/28/2006
Last updated
10/02/2018
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