PALMETTO DIGESTIVE DISEASE PA NPI 1922057843

NPI Information

PALMETTO DIGESTIVE DISEASE PA is a specialist in Charleston, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PALMETTO DIGESTIVE DISEASE PA NPI is 1922057843. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2073 CHARLIE HALL BLVD
CHARLESTON, SC
ZIP 29414-834
Phone: (843) 571-0643
Fax: (843) 377-0499

The provider's authorized official is Sonya Wyatt .
The authorized official title is Ceo and has the following contact phone number (843) 571-0643.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 5/14/2020.

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:

Other Identifiers

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

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