Organization Name: | PALMETTO PRIMARY CARE PHYSICIANS |
NPI Number: | 1639118524 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS BRANTLEY ARNAU (PRESIDENT) |
Mailing Address: | 1254 Yeamans Hall Rd Hanahan |
State: | SC US |
Postal Code: | 294102787 |
Phone Number: | 8435548312 |
Fax Number: | 8435545141 |
NPI Enumeration Date: | 06/06/2006 |
NPI Last Update Date: | 02/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |