Healthcare Provider Details

I. General information

NPI: 1831013390
Provider Name (Legal Business Name): LEE PALMER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4070 HIGHWAY 17
MURRELLS INLET SC
29576-5033
US

IV. Provider business mailing address

642 MALLARD POND RD
MURRELLS INLET SC
29576-7754
US

V. Phone/Fax

Practice location:
  • Phone: 843-652-1518
  • Fax:
Mailing address:
  • Phone: 843-652-1518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number229808
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: