Organization
PINNER CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARROLL A PINNER III MD (SEC TREAS)
(803) 945-7475
Entity
Organization
Contact information
Practice address
32 RIVER ST, PEAK, SC 29122-0099
(803) 945-7475
(803) 345-2832
Mailing address
PO BOX 99, PEAK, SC 29122-0099
(803) 945-7475
(803) 345-2832
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6376
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA0659
—
SC
Enumeration date
06/07/2006
Last updated
11/10/2023
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