Palmetto Spine & Sports Medicine, Pa

LBN: Palmetto Spine & Sports Medicine, Pa
Palmetto Spine & Sports Medicine, Pa is an health care organization with primary practice located at 3030 Ashley Town Center Dr Blgd A-102, Charleston SC 29414-5664. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Palmetto Spine & Sports Medicine, Pa can be contacted via phone (843) 573-9997, or through Zgleszewski, Timothy Michael via phone (843) 573-9997.

Contact Information

Primary practice address
3030 Ashley Town Center Dr Blgd A-102 Charleston SC 29414-5664
Fax: (843) 377-1446
Website:
Authorized official contact:
Name: Zgleszewski, Timothy Michael Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X

Profile Details

NPI number 1942266176
LBN Legal business name Palmetto Spine & Sports Medicine, Pa
DBA Doing business as
Authorized official Zgleszewski, Timothy Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2006
Last updated Mar 21st, 2011 - about 13 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 1942266176 NPPES
South Carolina MEDICAID GP3855

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