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PALMETTO TRAVEL MEDICINE NPI 1467691568


NPI Information

NPI: 1467691568
Provider Name: PALMETTO TRAVEL MEDICINE

Doing Business As: PASSPORT HEALTH

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 42D2239610

Address:
2154 N CENTER ST
SUITE A-104
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 225-5688
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PALMETTO TRAVEL MEDICINE is a specialist in North 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 TRAVEL MEDICINE NPI is 1467691568. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Passport Health.

The provider's business location address is:

2154 N CENTER ST
SUITE A-104
NORTH CHARLESTON, SC
ZIP 29406-056
Phone: (843) 225-5688
Fax: (843) 225-5689

The provider's authorized official is Ingrid Nielsen Brewster .
The authorized official title is Executive Director and has the following contact phone number (843) 225-5688.

The CLIA number assigned to this NPI record is 42D2239610 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2009 and was last updated on 2/12/2009.


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
1174400000XSpecialistR98024SOUTH CAROLINAYes

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: 11/14/2023

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