| |
9200 University Blvd Russell West 101 N Charleston SC 29406-9121 | |
(843) 863-7887 | |
Not Available |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 9200 University Blvd, N Charleston, South Carolina |
Authorized Official Name and Position | Thomas Brantley Arnau (PRESIDENT) |
Authorized Official Contact | 8435727727 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 530062 Atlanta GA 30353-0062 Ph: (843) 695-6071 | 9200 University Blvd Russell West 101 N Charleston SC 29406-9121 Ph: (843) 863-7887 |
NPI Number | 1275943953 |
---|---|
Provider Enumeration Date | 05/02/2014 |
Last Update Date | 06/01/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275943953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2550 Elms Center Rd, N Charleston, SC 29406 Phone: 843-572-7727 Fax: 843-569-5872 |