Palmetto Digestive Disease Pa

LBN: Palmetto Digestive Disease Pa
Palmetto Digestive Disease Pa is an health care organization with primary practice located at 2073 Charlie Hall Blvd , Charleston SC 29414-5834. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Palmetto Digestive Disease Pa can be contacted via phone (843) 571-0643, or through Wyatt, Sonya via phone (843) 571-0643.

Contact Information

Primary practice address
2073 Charlie Hall Blvd Charleston SC 29414-5834
Phone: (843) 571-0643
Fax: (843) 377-0499
Website:
Map and Directions
Authorized official contact:
Name: Wyatt, Sonya
Phone: (843) 571-0643

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1922057843
LBN Legal business name Palmetto Digestive Disease Pa
DBA Doing business as
Authorized official Wyatt, Sonya
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2006
Last updated May 14th, 2020 - about 5 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 1922057843 NPPES
South Carolina MEDICAID GP0775

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