| |
8901 University Blvd N Charleston SC 29406 | |
(843) 203-2245 | |
(843) 203-2244 |
Full Name | |
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Speciality | Family Medicine |
Location | 8901 University Blvd, N Charleston, South Carolina |
Authorized Official Name and Position | Robert R. Oliverio (VP/CEO RSF PP) |
Authorized Official Contact | 8437242903 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 751649 Charlotte NC 28275-1649 Ph: (888) 472-0043 | 8901 University Blvd N Charleston SC 29406 Ph: (843) 203-2245 |
NPI Number | 1750834271 |
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Provider Enumeration Date | 08/02/2016 |
Last Update Date | 03/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750834271 | NPI | - | NPPES |
GP7538 | Medicaid | SC | |
292 | Other | SC | BCBS SC AND BLUECHOICE SUFFIX |
614387330 | Other | SC | DOL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (South Carolina) | Primary |
207R00000X | Internal Medicine | (South Carolina) | Secondary |
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 |