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9319 Medical Plaza Dr N Charleston SC 29406-9103 | |
(843) 343-3188 | |
(843) 824-3942 |
Full Name | |
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Speciality | Internal Medicine - Geriatric Medicine |
Location | 9319 Medical Plaza Dr, N Charleston, South Carolina |
Authorized Official Name and Position | Peter K Maung (PRESIDENT) |
Authorized Official Contact | 8433433188 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 459 Ladson SC 29456-0459 Ph: (843) 343-3188 | 9319 Medical Plaza Dr N Charleston SC 29406-9103 Ph: (843) 343-3188 |
NPI Number | 1437171311 |
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Provider Enumeration Date | 07/23/2006 |
Last Update Date | 06/05/2008 |
Identifier | Type | State | Issuer |
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1437171311 | NPI | - | NPPES |
H309668542 | Other | SC | MEDICARE PIN |
GP4445 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 22387 (South Carolina) | 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 |