| Palmetto Primary Care Physicians, Llc | |
|
115 Executive Pkwy Moncks Corner SC 29461-3955 | |
| (843) 761-2815 | |
| (843) 899-4723 |
| Full Name | Palmetto Primary Care Physicians, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 115 Executive Pkwy, 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, Llc Po Box 530062 Atlanta GA 30353-0062 Ph: (843) 695-6071 | Palmetto Primary Care Physicians, Llc 115 Executive Pkwy Moncks Corner SC 29461-3955 Ph: (843) 761-2815 |
| NPI Number | 1184663007 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184663007 | NPI | - | NPPES |
| GP2858 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Primary |
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