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Contact Information

PALMETTO PRIMARY CARE PHYSICIANS, LLC
1101 OLD TROLLEY RD
SUITE 200
SUMMERVILLE, SC29485-5293
 Phone: 843-407-0551
 Fax: 888-434-2583
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Diagnostic Ultrasound

2085U0001X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for PALMETTO PRIMARY CARE PHYSICIANS LLC · (Female)

NPI # 1689002784
Status Active
Credentials
Entity Individual
Enumeration date 10/29/2013
Last updated 06/02/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 2831
  • SC License # 31521
  • SC License # MD31521
  • SC Medicaid GP6309
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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