Palmetto Family Care | |
1455 Remount Rd Suite 1a & 1b North Charleston SC 29406-3355 | |
(843) 745-9990 | |
(843) 745-0008 |
Full Name | Palmetto Family Care |
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Speciality | Family Medicine |
Location | 1455 Remount Rd, North Charleston, South Carolina |
Authorized Official Name and Position | Herold Nazon (PRESIDENT) |
Authorized Official Contact | 8437459990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Palmetto Family Care Po Box 50519 Summerville SC 29485-0519 Ph: (843) 745-9990 | Palmetto Family Care 1455 Remount Rd Suite 1a & 1b North Charleston SC 29406-3355 Ph: (843) 745-9990 |
NPI Number | 1790765972 |
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Provider Enumeration Date | 01/22/2006 |
Last Update Date | 10/18/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790765972 | NPI | - | NPPES |
GP2608 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | SC12512 (South Carolina) | Primary |
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