Organization
PALMETTO PICC LINES, LLC
Active
Other names
Palmetto PICC Lines
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN WEST (PRESIDENT)
(843) 568-2716
Entity
Organization
Contact information
Practice address
5804 CARDIFF CT, HANAHAN, SC 29410-2402
(843) 568-2716
Mailing address
PO BOX 12008, CHARLESTON, SC 29422-2008
(843) 568-2716
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
988
SC
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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