| Premier Internal Medicine, Llc | |
|
9217 University Blvd Suite C-1-d North Charleston SC 29406-9147 | |
| (843) 797-1716 | |
| (843) 797-1964 |
| Full Name | Premier Internal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9217 University Blvd, North Charleston, South Carolina |
| Authorized Official Name and Position | Morgan A Lowry (OWNER/MANAGER) |
| Authorized Official Contact | 8437971716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Internal Medicine, Llc 9217 University Blvd Suite C-1-d North Charleston SC 29406-9147 Ph: (843) 797-1716 | Premier Internal Medicine, Llc 9217 University Blvd Suite C-1-d North Charleston SC 29406-9147 Ph: (843) 797-1716 |
| NPI Number | 1801831094 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801831094 | NPI | - | NPPES |
| T75406 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 23155 (South Carolina) | Primary |
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