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NPI Code Detail

MEDICARE: PALMETTO PRIMARY CARE PHYSICIANS, LLC

MEDICARE: PALMETTO PRIMARY CARE PHYSICIANS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2208D00000XGeneral Practice Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760967053
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALMETTO PRIMARY CARE PHYSICIANS, LLC
Provider Business Mailing Address
First Line : PO BOX 530062
Second Line :
City : ATLANTA
State : GA
Zip : 30353-0062
Country : US
Telephone Number : 843-695-6071
Fax Number : 843-569-5881
Provider Business Practice Location Address
First Line : 14866 OCEAN HWY
Second Line :
City : PAWLEYS ISLAND
State : SC
Zip : 29585-4801
Country : US
Telephone Number : 843-235-0760
Fax Number : 843-492-0177
Authorized Official
Title or Position : CFO
Name : SCOTT TURNER
Credential :
Telephone Number : 843-695-6071
Provider Enumeration Date : 10/02/2018
Last Update Date : 06/02/2021

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Directions to “PALMETTO PRIMARY CARE PHYSICIANS, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.