Palmetto Adult And Childrens Urology Pa

LBN: Palmetto Adult And Childrens Urology Pa
Palmetto Adult And Childrens Urology Pa is an health care organization with primary practice located at 2890 Tricom St , North Charleston SC 29406-9171. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Palmetto Adult And Childrens Urology Pa can be contacted via phone (843) 797-6600, or through Munkberg, Amelia via phone (843) 797-6600.

Contact Information

Primary practice address
2890 Tricom St North Charleston SC 29406-9171
Phone: (843) 797-6600
Fax: (843) 820-1440
Website:
Map and Directions
Authorized official contact:
Name: Munkberg, Amelia
Phone: (843) 797-6600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1467440644
LBN Legal business name Palmetto Adult And Childrens Urology Pa
DBA Doing business as
Authorized official Munkberg, Amelia
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2005
Last updated Apr 20th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467440644 NPPES
South Carolina MEDICAID GP4871
South Carolina Other 7026

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