PALMETTO PRIMARY CARE PHYSICIANS LLC NPI 1508830217

NPI Information

  • NPI: 1508830217
  • Provider Name: PALMETTO PRIMARY CARE PHYSICIANS, LLC
  • Classification: Family Medicine - 207QA0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • CLIA Number: 42D0251269
  • Address: 104 FUNK AVE
    SAINT STEPHEN, SC
    ZIP 29479
  • Phone: (843) 567-3206

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NPI Details

PALMETTO PRIMARY CARE PHYSICIANS, LLC is an adolescent medicine family medicine in Saint Stephen, SC. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. PALMETTO PRIMARY CARE PHYSICIANS, LLC NPI is 1508830217. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

104 FUNK AVE
SAINT STEPHEN, SC
ZIP 29479-383
Phone: (843) 567-3206
Fax: (843) 567-3287

The provider's authorized official is Thomas Brantley Arnau .
The authorized official title is President and has the following contact phone number (843) 572-7727.

The CLIA number assigned to this NPI record is 42D0251269 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/17/2006 and was last updated on 6/1/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0000XFamily MedicineAdolescent Medicine13550SOUTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PA0169MEDICAIDSOUTH 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: 11/21/2025

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