Palmetto Ortho Of Chas, Pa

LBN: Palmetto Ortho Of Chas, Pa
Palmetto Ortho Of Chas, Pa is an health care organization with primary practice located at 180 Wingo Way Ste 301 , Mount Pleasant SC 29464-1812. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Suppliers / Prosthetic/Orthotic Supplier. Other Service Providers / Specialist is the primary health care specialty. Palmetto Ortho Of Chas, Pa can be contacted via phone (843) 884-0302, or through Gilmore, Waddell H via phone (843) 884-0302.

Contact Information

Primary practice address
180 Wingo Way Ste 301 Mount Pleasant SC 29464-1812
Fax: (843) 849-9308
Website:
Authorized official contact:
Name: Gilmore, Waddell H Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9782 South Carolina
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 9782 South Carolina

Profile Details

NPI number 1134155914
LBN Legal business name Palmetto Ortho Of Chas, Pa
DBA Doing business as
Authorized official Gilmore, Waddell H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated May 16th, 2008 - about 16 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 1134155914 NPPES
South Carolina MEDICAID DM0683
South Carolina MEDICAID GP2895

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