| NPI | 1043077654 |
|---|---|
| Doing Business As | PALMETTO ADULT MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SAMUEL FULTON ERVIN Sr VP & CFO 843-777-2910 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-02-29 |