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2075 Eagle Landing Blvd N Charleston SC 29406-4074 | |
(843) 577-0220 | |
(843) 577-4193 |
Full Name | |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 2075 Eagle Landing Blvd, N Charleston, South Carolina |
Authorized Official Name and Position | Barbara Miller (MANAGER, MANAGED CARE) |
Authorized Official Contact | 8437891665 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 751649 Charlotte NC 28275-1649 Ph: (843) 789-1620 | 2075 Eagle Landing Blvd N Charleston SC 29406-4074 Ph: (843) 577-0220 |
NPI Number | 1306198916 |
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Provider Enumeration Date | 10/05/2012 |
Last Update Date | 10/05/2012 |
Identifier | Type | State | Issuer |
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1306198916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 24928 (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 |