Palmetto Primary Care Physicians Gastroenterology | |
730 Stony Landing Rd Ste. 200 Moncks Corner SC 29461-2904 | |
(843) 376-0670 | |
(843) 376-0669 |
Full Name | Palmetto Primary Care Physicians Gastroenterology |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 730 Stony Landing Rd, Moncks Corner, South Carolina |
Authorized Official Name and Position | Thomas Brantley Arnau (PRESIDENT) |
Authorized Official Contact | 8436957061 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Palmetto Primary Care Physicians Gastroenterology Po Box 530062 Atlanta GA 30353-0062 Ph: (843) 695-6071 | Palmetto Primary Care Physicians Gastroenterology 730 Stony Landing Rd Ste. 200 Moncks Corner SC 29461-2904 Ph: (843) 376-0670 |
NPI Number | 1538507298 |
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Provider Enumeration Date | 06/04/2013 |
Last Update Date | 06/01/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538507298 | NPI | - | NPPES |
GP6219 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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