Organization · Type 2 NPI

Premise Health of South Carolina Medical PC

Multi-Specialty Clinic/Center · Orangeburg, SC

NPI number 1770196495 Active

Practice location

172 Old Elloree Rd
Orangeburg, SC 29115-8461

Fax (803) 533-4764

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1770196495

Premise Health of South Carolina Medical PC's National Provider Identifier is 1770196495, issued on Aug 24, 2020. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Orangeburg, SC. The record was last updated on Mar 6, 2026.