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Contact Information

PALMETTO RETINA CENTER LLC
124 SUNSET COURT
WEST COLUMBIA, SC29169
 Phone: 803-931-0077
 Fax: 803-931-0076
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for PALMETTO RETINA CENTER LLC · (Female)

NPI # 1255322806
Status Active
Credentials
Entity Individual
Enumeration date 11/02/2005
Last updated 12/09/2020 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid GP0623
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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