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 |