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3520 W Montague Ave N Charleston SC 29418-6099 | |
(843) 885-4900 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 3520 W Montague Ave, N Charleston, South Carolina |
Authorized Official Name and Position | Jody Addair (CLINICAL OPS PROJECT COORDINATOR) |
Authorized Official Contact | 3175560017 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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124 Allawood Ct. Allawood Ct Simpsonville SC 29681 Ph: (864) 501-0751 | 3520 W Montague Ave N Charleston SC 29418-6099 Ph: (843) 885-4900 |
NPI Number | 1811640667 |
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Provider Enumeration Date | 02/01/2022 |
Last Update Date | 11/22/2024 |
Identifier | Type | State | Issuer |
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1811640667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2550 Elms Center Rd, N Charleston, SC 29406 Phone: 843-572-7727 Fax: 843-569-5872 |