Organization · Type 2 NPI
Southern Palmetto Primary Care LLC
Primary Care Nurse Practitioner · Great Falls, SC
NPI number
1700523347
Active
Practice location
503 Chester Ave Ste C
Great Falls, SC 29055-1207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1700523347
Southern Palmetto Primary Care LLC's National Provider Identifier is 1700523347, issued on May 16, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Great Falls, SC. The record was last updated on Oct 23, 2026.