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PALMETTO PULMONARY PHYSICIANS OF CHARLESTON PA NPI 1609825561


NPI Information

NPI: 1609825561
Provider Name: PALMETTO PULMONARY PHYSICIANS OF CHARLESTON PA
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
105 WAPPOO CREEK DR
SUITE 3-A
CHARLESTON, SC
ZIP 29412
Phone: (843) 795-1025
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PALMETTO PULMONARY PHYSICIANS OF CHARLESTON PA is a pulmonary disease internal medicine in Charleston, SC. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. PALMETTO PULMONARY PHYSICIANS OF CHARLESTON PA NPI is 1609825561. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

105 WAPPOO CREEK DR
SUITE 3-A
CHARLESTON, SC
ZIP 29412-134
Phone: (843) 795-1025
Fax: (843) 795-1081

The provider's authorized official is Cary Erwin Fechter .
The authorized official title is Owner and has the following contact phone number (843) 795-1025.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 12/27/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine10847SOUTH CAROLINANo
2207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism10847SOUTH CAROLINANo
3207RS0012XInternal MedicineSleep Medicine10847SOUTH CAROLINANo
4207RP1001XInternal MedicinePulmonary Disease10847SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP2299MEDICAIDSOUTH CAROLINA
2B92263MEDICARE UPINSOUTH CAROLINA
36270MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.