| Palmetto Primary Care Physicians | |
|
401 N Live Oak Dr Ste. B Moncks Corner SC 29461-5603 | |
| (843) 761-7884 | |
| (843) 761-9047 |
| Full Name | Palmetto Primary Care Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 401 N Live Oak Dr, Moncks Corner, 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 |
|---|---|
| Palmetto Primary Care Physicians Po Box 530062 Atlanta GA 30353-0062 Ph: (843) 695-6071 | Palmetto Primary Care Physicians 401 N Live Oak Dr Ste. B Moncks Corner SC 29461-5603 Ph: (843) 761-7884 |
| NPI Number | 1104866623 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104866623 | NPI | - | NPPES |
| GP3821 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Primary |
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