PALMETTO PRIMARY CARE PHYSICIANS LLC NPI 1609410794

NPI Information

  • NPI: 1609410794
  • Provider Name: PALMETTO PRIMARY CARE PHYSICIANS, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: PALMETTO PRIMARY CARE PHYSICIANS-COLUMBIA LABORATORY
  • Address: 7611 SAINT ANDREWS RD
    IRMO, SC
    ZIP 29063
  • Phone: (803) 350-9433

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NPI Details

PALMETTO PRIMARY CARE PHYSICIANS, LLC is a family medicine in Irmo, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PALMETTO PRIMARY CARE PHYSICIANS, LLC NPI is 1609410794. The provider is registered as an organization entity type.
The provider Is Doing Business As Palmetto Primary Care Physicians-columbia Laboratory.

The provider's business location address is:

7611 SAINT ANDREWS RD
IRMO, SC
ZIP 29063-834
Phone: (803) 350-9433
Fax: (843) 732-2123

The provider's authorized official is Brenda Reeve .
The authorized official title is Credentialing Coordinator and has the following contact phone number (843) 820-3403.

The enumeration date for this NPI number is 10/31/2019 and was last updated on 11/18/2021.

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
1291U00000XClinical Medical LaboratoryNo
2207Q00000XFamily MedicineYes

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
1GP9565MEDICAIDSOUTH 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: 3/30/2025

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