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NPI 1891748356

NPI 1891748356 : PALMETTO ANESTHESIA AND PAIN, LLC : HILTON HEAD ISLAND, SC

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General NPI Number Information
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    NPI Number           |    1891748356
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    Entity Type          |    Organization 
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    Legal Business Name  |    PALMETTO ANESTHESIA AND PAIN, LLC 
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Dates
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    Enumeration Date     |    05/18/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    222 PEMBROKE DR BUILDING C
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    City                 |    HILTON HEAD ISLAND
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    State                |    SC
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    Zip                  |    29926-6201
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    Country              |    US
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    Telephone            |    843-682-2345
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    Fax                  |    843-682-2343
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Provider Business Mailing Address
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    Address Line         |    222 PEMBROKE DR BUILDING C
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    City                 |    HILTON HEAD ISLAND
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    State                |    SC
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    Zip                  |    29926-6201
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    Country              |    US
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    Telephone            |    843-682-2345
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    Fax                  |    843-682-2343
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Authorized Official
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    Title or Position    |    PRACTICE ADMINISTRATOR
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    Name                 |    MS. CHERYL COGGINS DEVOE 
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    Credential           |    
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    Telephone            |    843-682-2345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207LP2900X
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    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
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    License Number       |    
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    License Number State |    
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