PALMETTO PRIMARY CARE PHYSICIANS LLC NPI 1689002784

NPI Information

NPI: 1689002784
Provider Name: PALMETTO PRIMARY CARE PHYSICIANS, LLC
Classification: Radiology - 2085R0202X
Specialization: Diagnostic Radiology
Entity Type: Organization
Doing Business As: PALMETTO IMAGING AND WOMENS HEALTH
Address: 1101 OLD TROLLEY RD
SUITE 200
SUMMERVILLE, SC
ZIP 29485
Phone: (843) 407-0551

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NPI Details

PALMETTO PRIMARY CARE PHYSICIANS, LLC is a diagnostic radiology radiology in Summerville, SC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PALMETTO PRIMARY CARE PHYSICIANS, LLC NPI is 1689002784. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Palmetto Imaging And Womens Health.

The provider's business location address is:

1101 OLD TROLLEY RD
SUITE 200
SUMMERVILLE, SC
ZIP 29485-293
Phone: (843) 407-0551
Fax: (888) 434-2583

The provider's authorized official is Thomas Brantley Arnau .
The authorized official title is President and has the following contact phone number (843) 407-0551.

The enumeration date for this NPI number is 10/29/2013 and was last updated on 6/2/2021.

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
1	2085B0100X	Radiology	Body Imaging	2831	SOUTH CAROLINA	No
2	2085R0202X	Radiology	Diagnostic Radiology	MD31521	SOUTH CAROLINA	Yes
3	2085R0204X	Radiology	Vascular & Interventional Radiology	31521	SOUTH CAROLINA	No
4	2085U0001X	Radiology	Diagnostic Ultrasound			No

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
1	GP6309	MEDICAID	SOUTH 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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