Organization
PALMETTO NEPHROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD S NASSRI MD (PRESIDENT)
(803) 531-2677
Entity
Organization
Contact information
Practice address
3031 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1443
(803) 531-2677
(803) 531-6137
Mailing address
3031 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1443
(803) 531-2677
(803) 531-6137
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3407
—
SC
Enumeration date
07/05/2006
Last updated
08/05/2021
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